AMAZING DENTAL PLLC – NPI #1275018087
Clinic/Center

AMAZING DENTAL PLLC is an AHC clinic located in SOUTHFIELD, MI. NPPES has assigned the NPI number 1275018087 to AMAZING DENTAL PLLC on September 27, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

The NPI profile was previously updated about 6 years ago on May 14, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AMAZING DENTAL PLLC below.

NPI Profile for
AMAZING DENTAL PLLC

NPI Number
1275018087
Enumeration Date

(more than 7 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
AMAZING DENTAL PLLC
Primary location
22972 LAHSER RD STE 1
SOUTHFIELD, MI 48033-4408
Phone: (248) 843-9191 Fax:
Mailing address
1805 FORT ST
WYANDOTTE, MI 48192-3545
Phone: (248) 467-7072 Fax:
Organization Subpart
No
Authorized Official
NAWRAS NAJOR
OWNER
Phone: (248) 467-7072
Updated
Certification Date
May 14, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.