Organization Active NPI

Southfield Dental Center PC

  • General Practice Dentistry
  • Southfield, MI
National Provider Identifier
1982849683
Registry record updated Dec 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
MI 016371 Issued in MI
Legal business name
SOUTHFIELD DENTAL CENTER PC
Practice address
17727 W. Ten Mile Rd.
Southfield, MI 48075
Phone
(248) 552-8200
Fax
(248) 552-9955
NPI assigned
Dec 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2008

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

Authorized official

Name
Dr. Saad John Murad, D.D.S.
Title
Pres
Phone
(248) 552-8200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X MI 016371 MI Primary

Addresses

Primary practice location

17727 W. Ten Mile Rd.
Southfield, MI 48075

Mailing address

17727 W. Ten Mile Rd.
Southfield, MI 48075
Phone (248) 552-8200

National Provider Directory

National Provider Directory

Locations

17727 W 10 Mile Rd
Southfield, MI 48075
Phone (248) 552-8200

NPI Registry JSON

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

{
    "created_epoch": "1228780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228780800000",
    "number": "1982849683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17727 W. TEN MILE RD.",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "48075",
            "telephone_number": "248-552-8200",
            "fax_number": "248-552-9955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17727 W. TEN MILE RD.",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "48075",
            "telephone_number": "248-552-8200",
            "fax_number": "248-552-9955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHFIELD DENTAL CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-09",
        "last_updated": "2008-12-09",
        "status": "A",
        "authorized_official_last_name": "MURAD",
        "authorized_official_first_name": "SAAD",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "248-552-8200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "MI 016371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.