Royal Dental Center PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ROYAL DENTAL CENTER PLLC

Practice address

4819 Haggerty Rd
West Bloomfield, MI 48323-3901

Phone

(248) 863-9109

NPI assigned

Dec 10, 2021

Organization subpart

No

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

Authorized official

Name

Manal IsmailNPI 1801151303

Title

Owner

Phone

(313) 828-9873

Specialties & licenses 1

Addresses

Other names 1

• Royal Dental Center Doing business as

Locations

Practitioners 2

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

• Manal Ismail

  • Dentist
  • West Bloomfield, MI
  • NPI 1801151303
  NPD Authorized official
• Bahareh Moradi, DDS, MS

  • Prosthodontics
  • West Bloomfield, MI
  • NPI 1942979067
  NPD

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

{
    "created_epoch": "1639094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639094400000",
    "number": "1982363677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4819 HAGGERTY RD",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483233901",
            "telephone_number": "248-863-9109",
            "fax_number": "248-863-9122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4819 HAGGERTY RD",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483233901",
            "telephone_number": "248-863-9109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL DENTAL CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-10",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-10",
        "status": "A",
        "authorized_official_last_name": "ISMAIL",
        "authorized_official_first_name": "MANAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-828-9873"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Royal Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Rosman, M.D.
• Ross Id Specialists PLLC
• Christopher Ross, MD
• Jill Rostker, SLP
• Royal Care Solutions, LLC
• Royalcare, Inc.
• Hangming Ruan, PA
• Bruce Eric Ruben, MD
• Beth Lynn-Eisenberg Rubin, D.O.
• Harvey P Rubin, R.PH.

• Dental Clinic/Center in West Bloomfield, MI
• Providers in West Bloomfield, 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 Dec 10, 2021; 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.