| NPI | 1023261617 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2008-10-28 |
| Last Updated | 2008-10-28 |
| Authorized Official | Alaa Hermiz DENTIST Phone: 2485482210 |
| Mailing Address | 10470 W 9 Mile Rd Oak Park, MI 48237-2914 United States Phone: (248) 548-2210 | Fax: (248) 548-1769 📍 View Map |
| Primary Practice Address | 10470 W 9 Mile Rd Oak Park, MI 48237-2914 United States Phone: (248) 548-2210 | Fax: (248) 548-1769 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | MI | 4547942 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 1223G0001X – Dentist, General Practice | IL | 2901018305 |
Use our free NPI Lookup tool to find any healthcare provider in the NPPES registry. Search NPI →
About NPI 1023261617
St.george Family Dentistry P.c is an organization registered in the CMS NPPES NPI Registry with NPI number 1023261617. The primary specialty listed is Dentist, General Practice. The organization is located in Oak Park, MI. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2008-10-28. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1023261617?
NPI 1023261617 belongs to St.george Family Dentistry P.c, a Dentist, General Practice in Oak Park, MI. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1023261617 active?
The current status of NPI 1023261617 in the NPPES registry is Active. The record was last updated on 2008-10-28.
What specialty is NPI 1023261617?
NPI 1023261617 is classified under the taxonomy Dentist, General Practice. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1023261617?
You can verify NPI 1023261617 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1023261617?
The primary practice address on file for NPI 1023261617 is 10470 W 9 Mile Rd, Oak Park, MI 48237-2914. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1023261617 issued?
NPI 1023261617 was first issued (enumerated) on 2008-10-28. The NPPES record was last updated on 2008-10-28.
Practice Location Map
St.george Family Dentistry P.c is located at 10470 W 9 Mile Rd, Oak Park, MI. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as St.george Family Dentistry P.c. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1023261617. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Dentist, General Practice | 2901018305 | IL |