NPIMap

Organization Active NPI

Dental Care Team P C

  • Dentist
  • Grand Blanc, MI
National Provider Identifier
1962795880
Registry record updated May 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
L1622396 Issued in MI
Legal business name
DENTAL CARE TEAM P C
Practice address
8189 S Saginaw St
Ste a
Grand Blanc, MI 48439-2494
Phone
(810) 695-1151
NPI assigned
May 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2011

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

Authorized official

Name
Dr. Ibrahim Jarjoura, D.D.S.
Title
Owner/Dentist
Phone
(810) 695-1151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X L1622396 MI Primary

Addresses

Primary practice location

8189 S Saginaw St
Ste a
Grand Blanc, MI 48439-2494

Mailing address

8189 S Saginaw Rd
Ste a
Grand Blanc, MI 48439-2494
Phone (810) 695-1151

National Provider Directory

National Provider Directory

Locations

8189 S Saginaw St
Ste A
Grand Blanc, MI 48439
Phone (810) 695-1151

NPI Registry JSON

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

{
    "created_epoch": "1306281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306281600000",
    "number": "1962795880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8189 S SAGINAW RD",
            "address_2": "STE A",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392494",
            "telephone_number": "810-695-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8189 S SAGINAW ST",
            "address_2": "STE A",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392494",
            "telephone_number": "810-695-1151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL CARE TEAM P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-25",
        "last_updated": "2011-05-25",
        "status": "A",
        "authorized_official_last_name": "JARJOURA",
        "authorized_official_first_name": "IBRAHIM",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "810-695-1151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "L1622396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2011; 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.