Provider Demographics
NPI:1891845939
Name:DEARBORN COMMUNITY DENTAL CENTER P.C.
Entity Type:Organization
Organization Name:DEARBORN COMMUNITY DENTAL CENTER P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MOHAMAD
Authorized Official - Middle Name:H
Authorized Official - Last Name:MAJED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-584-6900
Mailing Address - Street 1:15600 MICHIGAN AVE
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48126-2944
Mailing Address - Country:US
Mailing Address - Phone:313-584-6900
Mailing Address - Fax:313-584-1552
Practice Address - Street 1:15600 MICHIGAN AVE
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48126-2944
Practice Address - Country:US
Practice Address - Phone:313-584-6900
Practice Address - Fax:313-584-1552
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-11
Last Update Date:2008-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty