Amazing Dental Wyandotte PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

AMAZING DENTAL WYANDOTTE PLLC

Practice address

1805 Fort St
Wyandotte, MI 48192-3545

Phone

(248) 910-4819

NPI assigned

Mar 18, 2018

Last updated

Mar 18, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Shams Hamama

Title

Credentialing

Phone

(248) 910-4819

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1521331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521331200000",
    "number": "1982107710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4616 BENNINGTON DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483103113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 FORT ST",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481923545",
            "telephone_number": "248-910-4819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMAZING DENTAL WYANDOTTE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-18",
        "last_updated": "2018-03-18",
        "status": "A",
        "authorized_official_last_name": "HAMAMA",
        "authorized_official_first_name": "SHAMS",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "248-910-4819",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jarred Ali, DPM
• Karen Naomi Allen, R.D.
• Gadeer Almachy, PHARMD
• Zeina Alobaidi, MD
• Ramy I. Alosachie, M.D.
• AMC Blevins PLLC
• Angela M Amolsch
• Timothy David Andres, D.D.S.
• Anthony S Kasiborski MD PC
• Muhannad Antoun, M.D

• Dental Clinic/Center in Wyandotte, MI
• Providers in Wyandotte, MI by specialty
• Dental Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2018; 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.