Active NPI
Livonia Smiles Dental Center
- Dental Clinic/Center
- Livonia, MI
National Provider Identifier
1902572712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- LIVONIA SMILES DENTAL CENTER
- Doing business as
- Livonia Smiles Dental Center
- Practice address
- 18224 Farmington Rd Ste a
Livonia, MI 48152-4445 - Phone
- (248) 477-5888
- Fax
- (248) 477-6679
- NPI assigned
- Aug 20, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rami Tharwat Essak, DMD
- Title
- Dentist
- Phone
- (248) 477-5888
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
18224 Farmington Rd Ste a
Livonia, MI 48152-4445
Mailing address
18224 Farmington Rd Ste a
Livonia, MI 48152-4445
Phone (248) 477-5888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073997441 | Medicaid | MI |
Other names 1
- Livonia Smiles Dental Center
National Provider Directory
National Provider DirectoryLocations
18224 Farmington Rd
Ste A
Livonia, MI 48152
Phone (248) 477-5888
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Public Health Dentistry
- Farmington Hills, MI
- NPI 1073997441
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629417600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1629417600000",
"number": "1902572712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18224 FARMINGTON RD STE A",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481524445",
"telephone_number": "248-477-5888",
"fax_number": "248-477-6679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18224 FARMINGTON RD STE A",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481524445",
"telephone_number": "248-477-5888",
"fax_number": "248-477-6679"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIVONIA SMILES DENTAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-20",
"last_updated": "2021-08-20",
"certification_date": "2021-08-20",
"status": "A",
"authorized_official_last_name": "ESSAK",
"authorized_official_first_name": "RAMI",
"authorized_official_middle_name": "THARWAT",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "248-477-5888",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1073997441",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Livonia Smiles Dental Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Livonia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.