Center for Dental Cosmetics PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

09568 Issued in MI

Legal business name

CENTER FOR DENTAL COSMETICS PLLC

Practice address

304 Hamilton Row
Birmingham, MI 48009-3459

Phone

(248) 540-7770

NPI assigned

Mar 15, 2007

Organization subpart

No

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

Authorized official

Name

Patty Baker

Title

Administrator

Phone

(248) 681-8100

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932233517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 GOLF RIDGE DR S",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483021730",
            "telephone_number": "248-681-8100",
            "fax_number": "248-681-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 HAMILTON ROW",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480093459",
            "telephone_number": "248-540-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR DENTAL COSMETICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "PATTY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "248-681-8100"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "09568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn S Way DDS PC
• Diane M Cartwright, LMSW
• Erin Kathleen Cassady, RD
• Debra J Cavender, R.D.
• Center for Cosmetic Dermatology, PC
• Carol Anne Chambers, PH.D.
• Charles Montgomery Boyd MD PLLC
• Rita Majeda Cherro, D.O.
• Kaylee Chin
• Chirokinetics PC

• General Practice Dentistry in Birmingham, MI
• Providers in Birmingham, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.