Lakes Pediatric Dentistry

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

2901017794 Issued in MI

Legal business name

LAKES PEDIATRIC DENTISTRY

Practice address

3101 Union Lake Rd
Commerce, MI 48382-4547

Phone

(248) 360-2555

Fax

(248) 360-1333

NPI assigned

May 8, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Naila S Farooq, BDS MS DDPHNPI 1487794590

Title

President

Phone

(248) 360-2555

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Naila S Farooq, BDS, MS,DDPH

  • Pediatric Dentistry
  • Commerce Township, MI
  • NPI 1487794590
  NPD (past) Authorized official

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952350852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 UNION LAKE RD",
            "city": "COMMERCE",
            "state": "MI",
            "postal_code": "483824547",
            "telephone_number": "248-360-2555",
            "fax_number": "248-360-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 UNION LAKE RD",
            "city": "COMMERCE",
            "state": "MI",
            "postal_code": "483824547",
            "telephone_number": "248-360-2555",
            "fax_number": "248-360-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKES PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FAROOQ",
        "authorized_official_first_name": "NAILA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-360-2555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "BDS MS DDPH"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MI",
            "license": "2901017794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Huron Valley Hospital (DMC Pharmacy Huron Valley)
• Huron Valley Hospital, Inc.
• Mark A Kendall, DC
• Kent C. Bowden DO PLLC
• Shahida R Khan, MD
• Lauryl E Lepak-Krumm, DDS
• Joseph C Lepak, DDS
• Stacy Ann Madany, PA-C
• Marina Mekhaeil, MD
• Joao Najar, DDS

• Pediatric Dentistry in Commerce, MI
• Providers in Commerce, MI by specialty
• Pediatric 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.