John J. Abdelmessih DDSS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JOHN J. ABDELMESSIH DDSS PC

Doing business as

Crestwood Dental Group

Practice address

6887 Dixie Hwy
Clarkston, MI 48346-5107

Phone

(248) 620-5420

Fax

(248) 620-2036

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. John J Abdelmessih, D.D.S.

Title

President

Phone

(248) 620-5420

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Crestwood Dental Group Doing business as

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1972600070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6887 DIXIE HWY",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483465107",
            "telephone_number": "248-620-5420",
            "fax_number": "248-620-2036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6887 DIXIE HWY",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483465107",
            "telephone_number": "248-620-5420",
            "fax_number": "248-620-2036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN J. ABDELMESSIH DDSS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "ABDELMESSIH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-620-5420",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4778171",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crestwood Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Aidan Rhiannon Johnson
• Dominiquea Johnson
• Kelly Johnson
• Malaysha Johnson

• General Practice Dentistry in Clarkston, MI
• Providers in Clarkston, 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 Jun 17, 2008; 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.