Superior Family Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SUPERIOR FAMILY DENTAL

Practice address

31393 W 13 Mile Rd
Suite 100
Farmington Hills, MI 48334-2297

Phone

(734) 474-4703

NPI assigned

Mar 12, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Randy Freij, D.D.S.NPI 1376612101

Title

Partner

Phone

(734) 474-4703

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Randy Freij, DDS

  • General Practice Dentistry
  • Farmington Hills, MI
  • NPI 1376612101
  NPD (past) Authorized official

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

{
    "created_epoch": "1236816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236816000000",
    "number": "1891936340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31393 W 13 MILE RD",
            "address_2": "SUITE 100",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342297",
            "telephone_number": "734-474-4703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31393 W 13 MILE RD",
            "address_2": "SUITE 100",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342297",
            "telephone_number": "734-474-4703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-12",
        "last_updated": "2009-03-12",
        "status": "A",
        "authorized_official_last_name": "FREIJ",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "734-474-4703",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GENERAL DENTIST",
            "identifier": "2901018929",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST GENERAL PRACTICE",
            "identifier": "2901019344",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meenu Adarsh Suneja, RPH
• Zawadi Sungura
• Jovi Sunn
• Carlos Suntecun
• Sarah Suntken
• Mary Jane Supnet
• Supreme Rehab Inc
• Diana Suprice
• Brianna Surdell
• Phyllis A Surma, RN

• General Practice Dentistry in Farmington Hills, MI
• Providers in Farmington Hills, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2009; 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.