Provider Demographics
NPI:1033301932
Name:DOSHI, AMI P (DDS)
Entity Type:Individual
Prefix:
First Name:AMI
Middle Name:P
Last Name:DOSHI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:AMI
Other - Middle Name:P
Other - Last Name:DOSHI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:800 S ADAMS RD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:BIRMINGHAM
Mailing Address - State:MI
Mailing Address - Zip Code:48009-7005
Mailing Address - Country:US
Mailing Address - Phone:248-792-6979
Mailing Address - Fax:248-792-6099
Practice Address - Street 1:800 S ADAMS RD
Practice Address - Street 2:SUITE 105
Practice Address - City:BIRMINGHAM
Practice Address - State:MI
Practice Address - Zip Code:48009-7005
Practice Address - Country:US
Practice Address - Phone:248-792-6979
Practice Address - Fax:248-792-6099
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-14
Last Update Date:2012-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010187441223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice