Jeffrey Selaksy, DDS, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

JEFFREY SELAKSY, DDS, PLLC

Practice address

25908 Ford Rd
Dearborn Heights, MI 48127-2936

Phone

(313) 277-0050

NPI assigned

Jun 3, 2020

Organization subpart

No

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

Authorized official

Name

Ann Cullen

Title

Office Manager

Phone

(313) 277-0050

Specialties & licenses 1

Addresses

Other names 1

• Jeffrey Selasky, DDS, PLLC Doing business as

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

{
    "created_epoch": "1591142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648684800000",
    "number": "1902420136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25908 FORD RD",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481272936",
            "telephone_number": "313-277-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25908 FORD RD",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481272936",
            "telephone_number": "313-277-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY SELAKSY, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-03",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A",
        "authorized_official_last_name": "CULLEN",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "313-277-0050"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jeffrey Selasky, DDS, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aisha Javed-Khan, DMD
• Ibrahim A Jawad, M.D.
• Zahraa Kamel Jawad, PA
• Nidal J. Jboor, M.D.
• Jeffrey H. Weiss, D.D.S., P.C. Dental Associates
• Jabril Cortez Johnson
• Gordon Jones Jr.
• Nahla Jones
• Precious S Jones
• Madelynzhane Elmyria Jordan

• Dental Clinic/Center in Dearborn Heights, MI
• Providers in Dearborn Heights, MI by specialty
• Dental Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; 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.