Deluxe Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DELUXE DENTAL

Practice address

3617 Corunna Rd
Flint, MI 48532-3830

Phone

(810) 285-8361

Fax

(810) 259-2073

NPI assigned

Oct 5, 2016

Organization subpart

Yes

Parent organization

DELUXE DENTALAs reported in NPPES

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

Authorized official

Name

Dr. Amber Mikha Kizy, DENTIST

Title

Owner

Phone

(810) 285-8361

Specialties & licenses 1

Addresses

Part of

Deluxe Dental Associates PLLC

Locations

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

{
    "created_epoch": "1475625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475625600000",
    "number": "1962952770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3617 CORUNNA RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323830",
            "telephone_number": "810-285-8361",
            "fax_number": "810-259-2073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3617 CORUNNA RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323830",
            "telephone_number": "810-285-8361",
            "fax_number": "810-259-2073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELUXE DENTAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DELUXE DENTAL",
        "enumeration_date": "2016-10-05",
        "last_updated": "2016-10-05",
        "status": "A",
        "authorized_official_last_name": "MIKHA KIZY",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-285-8361",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DENTIST"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Delong
• Shannon Marie Delorenzo, LLMSW
• Delta Family Clinic South P.C
• Delta Family Clinic South P.C
• Deltavision Optical Center PC
• Deluxe Dental Associates PLLC
• Deluxe Healthcare PLLC
• Courtney Demain
• Lauren S Demars
• Jennifer A Demerly, R.D.

• General Practice Dentistry in Flint, MI
• Providers in Flint, 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 Oct 5, 2016; 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.