Organization Active NPI

Dearborn Community Dental Center P.C.

  • General Practice Dentistry
  • Dearborn, MI
National Provider Identifier
1891845939
Registry record updated Mar 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DEARBORN COMMUNITY DENTAL CENTER P.C.
Practice address
15600 Michigan Ave
Dearborn, MI 48126-2944
Phone
(313) 584-6900
Fax
(313) 584-1552
NPI assigned
Jan 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2008

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

Authorized official

Name
Dr. Mohamad H. MajedNPI 1962552075
Title
President
Phone
(313) 584-6900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

15600 Michigan Ave
Dearborn, MI 48126-2944

Mailing address

15600 Michigan Ave
Dearborn, MI 48126-2944
Phone (313) 584-6900

National Provider Directory

National Provider Directory

Locations

15600 Michigan Ave
Dearborn, MI 48126
Phone (313) 584-6900

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205452800000",
    "number": "1891845939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15600 MICHIGAN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262944",
            "telephone_number": "313-584-6900",
            "fax_number": "313-584-1552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15600 MICHIGAN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262944",
            "telephone_number": "313-584-6900",
            "fax_number": "313-584-1552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEARBORN COMMUNITY DENTAL CENTER P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2008-03-14",
        "status": "A",
        "authorized_official_last_name": "MAJED",
        "authorized_official_first_name": "MOHAMAD",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-584-6900",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2008; 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.