Care Dental Family PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CARE DENTAL FAMILY PLLC

Practice address

5237 Oakman Blvd Ste a
Dearborn, MI 48126-4045

Phone

(313) 945-9977

Fax

(313) 945-9970

NPI assigned

Aug 26, 2019

Organization subpart

No

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

Authorized official

Name

Miss Randa Dagher

Title

Manager

Phone

(313) 945-9977

Specialties & licenses 1

Addresses

Other names 1

• care dental family pllc Former legal business name

Locations

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

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566777600000",
    "number": "1962059782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5237 OAKMAN BLVD STE A",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481264045",
            "telephone_number": "313-945-9977",
            "fax_number": "313-945-9970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5237 OAKMAN BLVD STE A",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481264045",
            "telephone_number": "313-945-9977",
            "fax_number": "313-945-9970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE DENTAL FAMILY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-26",
        "last_updated": "2019-08-26",
        "status": "A",
        "authorized_official_last_name": "DAGHER",
        "authorized_official_first_name": "RANDA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "313-945-9977",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "care dental family pllc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• General Practice Dentistry in Dearborn, MI
• Providers in Dearborn, 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 26, 2019; 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.