Provider Demographics
NPI:1619411907
Name:SAI FAMILY DENTISTRY, PC
Entity Type:Organization
Organization Name:SAI FAMILY DENTISTRY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SUNILA
Authorized Official - Middle Name:PATEL
Authorized Official - Last Name:SHANKAR
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:734-326-2200
Mailing Address - Street 1:1035 S MERRIMAN RD
Mailing Address - Street 2:
Mailing Address - City:WESTLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48186-5311
Mailing Address - Country:US
Mailing Address - Phone:734-326-2200
Mailing Address - Fax:734-728-3030
Practice Address - Street 1:1035 S MERRIMAN RD
Practice Address - Street 2:
Practice Address - City:WESTLAND
Practice Address - State:MI
Practice Address - Zip Code:48186-5311
Practice Address - Country:US
Practice Address - Phone:734-326-2200
Practice Address - Fax:734-728-3030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-06
Last Update Date:2016-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI187001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty