Mazin K DDS PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

MAZIN K DDS PC

Practice address

22319 King Rd
Woodhaven, MI 48183

Phone

(586) 709-4210

NPI assigned

Dec 13, 2012

Organization subpart

No

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

Authorized official

Name

Nabih Kizy

Title

Manager

Phone

(586) 709-4210

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1355356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449705600000",
    "number": "1891031118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22319 KING",
            "city": "WOODHAVEN",
            "state": "MI",
            "postal_code": "48183",
            "telephone_number": "586-709-4210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22319 KING RD",
            "city": "WOODHAVEN",
            "state": "MI",
            "postal_code": "48183",
            "telephone_number": "586-709-4210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAZIN K DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-13",
        "last_updated": "2015-12-10",
        "status": "A",
        "authorized_official_last_name": "KIZY",
        "authorized_official_first_name": "NABIH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "586-709-4210"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Woodhaven, MI
• Providers in Woodhaven, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2015; 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.