DENTAL ADMIN CO; NPI #1720784002

Contact Information

DENTAL ADMIN CO

32905 W 12 MILE RD
FARMINGTON HILLS, MI 48334-3342

Phone: 586-855-1475
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
General Practice	1223G0001X
Dental Assistant	126800000X
Dental Hygienist	124Q00000X
Dental Laboratory Technician	126900000X
Dental Public Health	1223D0001X
Dentist	122300000X
Dentist Anesthesiologist	1223D0004X
Endodontics	1223E0200X
Oral and Maxillofacial Pathology	1223P0106X
Oral and Maxillofacial Radiology	1223X0008X
Oral and Maxillofacial Surgery	1223S0112X	19	Oral Surgery (Dentist only)
Orofacial Pain	1223X2210X
Pediatric Dentistry	1223P0221X
Periodontics	1223P0300X
Prosthodontics	1223P0700X

Indicates primary specialty

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NPI Profile & details for DENTAL ADMIN CO

NPI Number	`1720784002`
LBN Legal business name	DENTAL ADMIN CO
Authorized official	JOSEPH THAYIL - (OWNER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	02/07/2023
Last updated	02/08/2023 - About 3 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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DENTAL ADMIN CO

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NPI Profile & details for DENTAL ADMIN CO

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