Shelby Family Cosmetic & Restorative Dentistry

Primary specialty

DentistTaxonomy code 122300000X

License

108264 Issued in MI

Legal business name

SHELBY FAMILY COSMETIC & RESTORATIVE DENTISTRY

Practice address

51221 Schoenherr Road.
Suite 102
Shelby Township, MI 48315

Phone

(586) 726-0030

Fax

(586) 726-0090

NPI assigned

Aug 10, 2018

Last updated

Aug 10, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Arnaldo Isadore Direzze, DDSNPI 1922166446

Title

Dentist/Owner

Phone

(586) 726-0030

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Arnaldo I Direzze, D.D.S.

  • Dentist
  • Shelby Township, MI
  • NPI 1922166446
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1533859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533859200000",
    "number": "1881173763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51221 SCHOENHERR ROAD",
            "address_2": "SUITE 102",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "48315",
            "telephone_number": "586-726-0030",
            "fax_number": "586-726-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51221 SCHOENHERR ROAD.",
            "address_2": "SUITE 102",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "48315",
            "telephone_number": "586-726-0030",
            "fax_number": "586-726-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELBY FAMILY COSMETIC & RESTORATIVE DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-10",
        "last_updated": "2018-08-10",
        "status": "A",
        "authorized_official_last_name": "DIREZZE",
        "authorized_official_first_name": "ARNALDO",
        "authorized_official_middle_name": "ISADORE",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "586-726-0030",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "108264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby Comfort Dentistry
• Shelby Counseling, Inc.
• Shelby Creek Pharmacy LLC (Shelby Creek Pharmacy)
• Shelby Dental Care
• Shelby Eyecare Associates PC
• Shelby Foot & Ankle, PLLC
• Shelby Grace Dental PLLC
• Shelby Health and Rehabilitation Center, LLC (Shelby Health and Rehabilitation Center)
• Shelby Macomb Vision Associates Inc
• Shelby Medical Equipment, Inc.

• Dentist in Shelby Township, MI
• Providers in Shelby Township, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.