Paul Dental Group, PC

Primary specialty

DentistTaxonomy code 122300000X

License

12292 Issued in MI

Legal business name

PAUL DENTAL GROUP, PC

Practice address

14521 E 7 Mile Rd
Detroit, MI 48205-2446

Phone

(313) 839-7999

Fax

(313) 839-0639

NPI assigned

Apr 18, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Paul Agyekum, DDS

Title

Owner/ President

Phone

(313) 839-7900

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1208476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208476800000",
    "number": "1922272152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14521 E 7 MILE RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482052446",
            "telephone_number": "313-839-7999",
            "fax_number": "313-839-0639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14521 E 7 MILE RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482052446",
            "telephone_number": "313-839-7999",
            "fax_number": "313-839-0639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL DENTAL GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-18",
        "last_updated": "2008-04-18",
        "status": "A",
        "authorized_official_last_name": "AGYEKUM",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER/ PRESIDENT",
        "authorized_official_telephone_number": "313-839-7900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "12292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3106916",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dhir Patwa, MD
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• Sanjay Chintaman Patwardhan, M.D
• Diane Patzer
• Paul Dental Group, PC
• Paul Makela, M.D., P.C.
• Paul Prescriptions Pharmacy LC
• Paul Rotarius Inc
• Andrina Veronica Paul
• Angela K Paul, AU.D.

• Dentist in Detroit, MI
• Providers in Detroit, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.