Provider Demographics
NPI:1528414786
Name:CARING DENTISTRY PC
Entity Type:Organization
Organization Name:CARING DENTISTRY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NAJWA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAJA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:248-547-1780
Mailing Address - Street 1:26021 COOLIDGE HWY
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48237-1109
Mailing Address - Country:US
Mailing Address - Phone:248-547-1780
Mailing Address - Fax:248-547-1894
Practice Address - Street 1:26021 COOLIDGE HWY
Practice Address - Street 2:
Practice Address - City:OAK PARK
Practice Address - State:MI
Practice Address - Zip Code:48237-1109
Practice Address - Country:US
Practice Address - Phone:248-547-1780
Practice Address - Fax:248-547-1894
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-06
Last Update Date:2016-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901017385122300000X
MI2901020155122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1407924103OtherDELTA DENTAL
1407924103OtherMICHILD
1407924103OtherUNITED HEALTH CARE PPO
1407924103OtherDENTAL PPO
1407924103OtherBLUE CROSS BLUE SHEILD PPO
MI1407924103Medicaid