Provider Demographics
NPI:1467004382
Name:CONVENIENT CM PC
Entity Type:Organization
Organization Name:CONVENIENT CM PC
Other - Org Name:CONVENIENT DENTAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SAMI
Authorized Official - Middle Name:
Authorized Official - Last Name:MAASSARANI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:248-561-9800
Mailing Address - Street 1:2655 OAKLEY PARK RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:COMMERCE TWP
Mailing Address - State:MI
Mailing Address - Zip Code:48390
Mailing Address - Country:US
Mailing Address - Phone:248-960-9001
Mailing Address - Fax:248-960-9070
Practice Address - Street 1:2655 OAKLEY PARK RD
Practice Address - Street 2:SUITE 101
Practice Address - City:COMMERCE TWP
Practice Address - State:MI
Practice Address - Zip Code:48390
Practice Address - Country:US
Practice Address - Phone:248-960-9001
Practice Address - Fax:248-960-9070
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-11
Last Update Date:2019-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty