FARMINGTON DENTAL STUDIO – NPI #1679038863
Clinic/Center

FARMINGTON DENTAL STUDIO is an AHC clinic located in FARMINGTON HILLS, MI. NPPES has assigned the NPI number 1679038863 to FARMINGTON DENTAL STUDIO on February 01, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “FARMINGTON DENTAL STUDIO” is a dba name, the actual legal business name for this organization is EIWAZ DENTAL, PLLC. 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 3 years ago on Nov 15, 2023. 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 FARMINGTON DENTAL STUDIO below.

NPI Profile for
EIWAZ DENTAL, PLLC

NPI Number
1679038863
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
EIWAZ DENTAL, PLLC
Doing Business As (dba): FARMINGTON DENTAL STUDIO
Primary location
32905 W 12 MILE RD
SUITE 140 BUILDING D
FARMINGTON HILLS, MI 48334-1982
Phone: (248) 516-0004 Fax: (258) 522-4626
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SARMAD EIWAZ
GENERAL DENTIST
Phone: (248) 759-8760
Updated
Certification Date
Nov 15, 2023

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.