The Dental Group,P.C

Primary specialty

DentistTaxonomy code 122300000X

License

2901011201 Issued in MI

Legal business name

THE DENTAL GROUP,P.C

Practice address

233 Southbound Gratiot Ave
Mount Clemens, MI 48043-2413

Phone

(586) 465-6503

NPI assigned

Sep 27, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Shakib Halabu

Title

Dentist

Phone

(586) 465-6503

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Paul Edwin Otto, DDS

  • General Practice Dentistry
  • Mount Clemens, MI
  • NPI 1275547846
  NPD (past)

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

{
    "created_epoch": "1285545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285545600000",
    "number": "1992014815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 SOUTHBOUND GRATIOT AVE",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480432413",
            "telephone_number": "586-465-6503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 SOUTHBOUND GRATIOT AVE",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480432413",
            "telephone_number": "586-465-6503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DENTAL GROUP,P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-27",
        "last_updated": "2010-09-27",
        "status": "A",
        "authorized_official_last_name": "HALABU",
        "authorized_official_first_name": "SHAKIB",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "586-465-6503",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901011201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yunus Tekin, DO
• Ruchell Tenner
• Sarah Ann Terrien
• Anthony Frank Teta, MD
• Amanda Thayer
• The Inclusion Project
• La'Shon Thedford, LPN
• Wyatt Steven Thielman, DPM
• Thomas C Hosey DPM & Associates PC
• Alvin Thomas, LLMSW

• Dentist in Mount Clemens, MI
• Providers in Mount Clemens, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2010; 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.