Joseph Odeesh DDS,PC

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

License

1683 Issued in MI

Legal business name

JOSEPH ODEESH DDS,PC

Practice address

11451 Joseph Campau St
Hamtramck, MI 48212-3040

Phone

(313) 365-4870

Fax

(313) 365-4870

NPI assigned

Mar 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Odeesh, DDSNPI 1053376525

Title

Presedent

Phone

(313) 365-4870

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph H Odeesh, DDS

  • Dentist
  • Hamtramck, MI
  • NPI 1053376525
  NPD (past) Authorized official
• Hannah Odeesh, D.D.S.

  • General Practice Dentistry
  • Farmington Hills, MI
  • NPI 1003799941
  NPD (past)

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356048000000",
    "number": "1972629962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11451 JOSEPH CAMPAU ST",
            "city": "HAMTRAMCK",
            "state": "MI",
            "postal_code": "482123040",
            "telephone_number": "313-365-4870",
            "fax_number": "313-365-4870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11451 JOSEPH CAMPAU ST",
            "city": "HAMTRAMCK",
            "state": "MI",
            "postal_code": "482123040",
            "telephone_number": "313-365-4870",
            "fax_number": "313-365-4870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH ODEESH DDS,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2012-12-21",
        "status": "A",
        "authorized_official_last_name": "ODEESH",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESEDENT",
        "authorized_official_telephone_number": "313-365-4870",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": "MI",
            "license": "1683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS",
            "identifier": "00-D-16825-00",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Farjana Rahman Jemi
• JFMM Corporation
• JM Comfortcare LLC
• Stefanee Jones, NP
• Joseph Campau Medical PLLC
• Nabil M Kabra, D.D.S
• Eyas Kanaan, M.D.
• Abdo Saleh Kassem Jr.
• Linda Kazan, PA
• Key of Life, LLC

• Public Health Dentistry in Hamtramck, MI
• Providers in Hamtramck, MI by specialty
• Public Health Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2012; 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.