Active NPI
Sabah Lillian Gagnon, DDS
- Dentist
- Farmington Hills, MI
National Provider Identifier
1982087953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 29-1-21527
- Practice address
- 31700 W 12 Mile Rd Ste 103
Farmington Hills, MI 48334-4460 - Phone
- (248) 891-8515
- Fax
- (248) 573-0233
- NPI assigned
- Jul 8, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 29-1-21527 | MI | Primary |
Addresses
Primary practice location
31700 W 12 Mile Rd Ste 103
Farmington Hills, MI 48334-4460
Mailing address
8641 Shaddick St
Dearborn, MI 48126-4702
Phone (313) 213-2505
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Renewal Family Dental PLLC | Current | Accepting new patients | |
| Laurich Dentistry Farmington | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Dearborn, MI
- NPI 1497347686
-
- General Practice Dentistry
- Farmington Hills, MI
- NPI 1689119190
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1982087953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8641 SHADDICK ST",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481264702",
"telephone_number": "313-213-2505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31700 W 12 MILE RD STE 103",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483344460",
"telephone_number": "248-891-8515",
"fax_number": "248-573-0233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAGNON",
"first_name": "SABAH",
"middle_name": "LILLIAN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-08",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "29-1-21527",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmington Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.