Organization Active NPI

Waely Dental PLLC

  • Dentist
  • Garden City, MI
National Provider Identifier
1992312680
Registry record updated Sep 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
WAELY DENTAL PLLC
Practice address
1769 Inkster Rd
Garden City, MI 48135-3028
Phone
(734) 421-4150
NPI assigned
Sep 26, 2020
Organization subpart
Yes
Parent organization
WAELY DENTAL PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 26, 2020

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

Authorized official

Name
Dr. Ruaa Waely, DDSNPI 1215423637
Title
Doctor of Dental Surgery
Phone
(313) 626-0476

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

1769 Inkster Rd
Garden City, MI 48135-3028

Mailing address

23902 Ann Arbor TRL
Dearborn Heights, MI 48127-1452
Phone (313) 925-5179

Other names 1

  • Michigan Smiles Family Dental Doing business as

National Provider Directory

National Provider Directory
Part of
Waely Dental PLLC

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1601078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601078400000",
    "number": "1992312680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23902 ANN ARBOR TRL",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481271452",
            "telephone_number": "313-925-5179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1769 INKSTER RD",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481353028",
            "telephone_number": "734-421-4150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAELY DENTAL PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WAELY DENTAL PLLC",
        "enumeration_date": "2020-09-26",
        "last_updated": "2020-09-26",
        "certification_date": "2020-09-26",
        "status": "A",
        "authorized_official_last_name": "WAELY",
        "authorized_official_first_name": "RUAA",
        "authorized_official_title_or_position": "DOCTOR OF DENTAL SURGERY",
        "authorized_official_telephone_number": "313-626-0476",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michigan Smiles Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Garden City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2020; 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.