Provider Demographics
NPI:1457967689
Name:WAHEED FAMILY DENTISTRY PLLC
Entity type:Organization
Organization Name:WAHEED FAMILY DENTISTRY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:UMAIR
Authorized Official - Middle Name:
Authorized Official - Last Name:WAHEED
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:313-409-1773
Mailing Address - Street 1:38934 N POINTE PKWY
Mailing Address - Street 2:
Mailing Address - City:HARRISON TWP
Mailing Address - State:MI
Mailing Address - Zip Code:48045-6813
Mailing Address - Country:US
Mailing Address - Phone:313-409-1773
Mailing Address - Fax:
Practice Address - Street 1:22537 HALL RD
Practice Address - Street 2:
Practice Address - City:MACOMB
Practice Address - State:MI
Practice Address - Zip Code:48042-5219
Practice Address - Country:US
Practice Address - Phone:586-784-6725
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-22
Last Update Date:2020-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty