Organization Active NPI

Livonia Smiles Dental Center

  • Dental Clinic/Center
  • Livonia, MI
National Provider Identifier
1902572712
Registry record updated Aug 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
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

Updated by the provider on Aug 20, 2021

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

Authorized official

Name
Rami Tharwat Essak, DMDNPI 1073997441
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1073997441MedicaidMI

Other names 1

  • Livonia Smiles Dental Center Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.