NORTHSTAR FAMILY DENTISTRY PLLC
NPI 1033659503
Dentist in Washington, MI

Active since March 03, 2017
64845 VAN DYKE RD STE 3, WASHINGTON, MI 48095(586) 752-6596(586) 752-5471 Get Directions Write a Review

NPPES record last updated: April 23, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 23, 2020, Mar 3, 2017 (2 updates tracked since 2017).

About Northstar Family Dentistry Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHSTAR FAMILY DENTISTRY PLLC (NPI 1033659503) is a healthcare organization registered as a dentist in Washington, Michigan and active in the NPI registry since March 2017. The organization lists Faith Maryam Aboona, Provider/owner, as its authorized official.

NPPES Registry Identity

NPI1033659503
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameNORTHSTAR FAMILY DENTISTRY PLLC
Location Address64845 VAN DYKE RD STE 3Washington, MI 48095-2836
Mailing Address64845 Van Dyke Rd Ste 3Washington, MI 48095-2836 · (586) 752-6596 · Fax (586) 752-5471
Fax(586) 752-5471
Organization SubpartNo
Authorized OfficialFaith Maryam AboonaProvider/owner · (586) 752-6596
Enumeration DateMarch 3, 2017
Last NPPES UpdateApril 23, 20202 updates tracked since enumeration
NPPES CertifiedApril 23, 2020
✔ NPI 1033659503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Also ListedClinic/CenterTaxonomy 261Q00000X
64845 VAN DYKE RD STE 3, Washington, MI 48095

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Northstar Family Dentistry Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Northstar Family Dentistry PLLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Oral Surgery
NPI 1336404979
64845 VAN DYKE RD #3
Washington, MI 48095
(586) 752-6596
✔ PECOSSame address
Oral Surgery
NPI 1427678283
64845 VAN DYKE RD STE 3
Washington, MI 48095
(586) 752-6596
✔ PECOSSame address
Oral Surgery
NPI 1235782616
64845 VAN DYKE RD
Washington, MI 48095
(586) 752-6596
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northstar Family Dentistry PLLC's NPI number?

The NPI number for Northstar Family Dentistry PLLC is 1033659503. It was assigned to this organization in the NPPES registry on March 3, 2017.

Where is Northstar Family Dentistry PLLC located?

Northstar Family Dentistry PLLC is located at 64845 Van Dyke Rd Ste 3, Washington, MI 48095. The listed phone number is (586) 752-6596.

What is Northstar Family Dentistry PLLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Northstar Family Dentistry PLLC enrolled in Medicare?

Yes. Northstar Family Dentistry PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Northstar Family Dentistry PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Oral Surgery, reassign their Medicare billing to Northstar Family Dentistry PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Northstar Family Dentistry PLLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Cross Blue Shield of Michigan Mutual Insurance Company and UnitedHealthcare list Northstar Family Dentistry PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Northstar Family Dentistry PLLC was last updated on April 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.