Organization Active NPI

All Dental 2 PLLC

  • Dental Clinic/Center
  • Clinton TWP, MI
National Provider Identifier
1922864396
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ALL DENTAL 2 PLLC
Practice address
19233 15 Mile Rd
Clinton TWP, MI 48035-2509
Phone
(313) 212-1418
NPI assigned
Feb 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

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

Authorized official

Name
Atheer Fawzi-Jassim, DDSNPI 1194386391
Title
Owner/ Dentist
Phone
(619) 495-2493

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

19233 15 Mile Rd
Clinton TWP, MI 48035-2509

Mailing address

19233 15 Mile Rd
Clinton TWP, MI 48035-2509

National Provider Directory

National Provider Directory

Locations

19233 15 Mile Rd
Clinton Twp, MI 48035
Phone (313) 212-1418

Practitioners & affiliated clinicians

Practitioners 2

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": "1708646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708646400000",
    "number": "1922864396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19233 15 MILE RD",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480352509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19233 15 MILE RD",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480352509",
            "telephone_number": "313-212-1418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL DENTAL 2 PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-23",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A",
        "authorized_official_last_name": "FAWZI-JASSIM",
        "authorized_official_first_name": "ATHEER",
        "authorized_official_title_or_position": "OWNER/ DENTIST",
        "authorized_official_telephone_number": "619-495-2493",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton TWP, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; 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.