Provider Demographics
NPI:1558329490
Name:CONTEMPORARY DENTISTRY P.C.
Entity Type:Organization
Organization Name:CONTEMPORARY DENTISTRY P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NADER
Authorized Official - Middle Name:
Authorized Official - Last Name:BAZZI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:313-581-4884
Mailing Address - Street 1:5211 SCHAEFER RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48126-3229
Mailing Address - Country:US
Mailing Address - Phone:313-581-4884
Mailing Address - Fax:313-581-0687
Practice Address - Street 1:5211 SCHAEFER RD
Practice Address - Street 2:SUITE 100
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48126-3229
Practice Address - Country:US
Practice Address - Phone:313-581-4884
Practice Address - Fax:313-581-0687
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental