Mobile Dental Services, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

17385 Issued in MI

Legal business name

MOBILE DENTAL SERVICES, PLLC

Practice address

26021 Coolidge Hwy
Oak Park, MI 48237-1109

Phone

(248) 547-1780

Fax

(248) 547-1894

NPI assigned

Jun 13, 2007

Last updated

Sep 21, 2007By 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. Najwa ShajaNPI 1407924103

Title

Dentist

Phone

(248) 547-1780

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

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.

• Najwa Younis Shaja, D.D.S.

  • Dentist
  • Oak Park, MI
  • NPI 1407924103
  NPD (past) Authorized official
• Rita Geloneck

  • Dentist
  • Oak Park, MI
  • NPI 1679444772
  NPD (past)

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190332800000",
    "number": "1962606020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26021 COOLIDGE HWY",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482371109",
            "telephone_number": "248-547-1780",
            "fax_number": "248-547-1894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26021 COOLIDGE HWY",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482371109",
            "telephone_number": "248-547-1780",
            "fax_number": "248-547-1894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE DENTAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2007-09-21",
        "status": "A",
        "authorized_official_last_name": "SHAJA",
        "authorized_official_first_name": "NAJWA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "248-547-1780",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "17385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4947265",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Christy Lynn Monaghan, MSW
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• General Practice Dentistry in Oak Park, MI
• Providers in Oak Park, 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 Sep 21, 2007; 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.