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MANSUR ROY DDS
NPI 1104018399
Dentist - Periodontics in Warren, MI

Active since August 13, 2007
12000 E 12 MILE RD, WARREN, MI 48093(586) 576-4140 Get Directions Write a Review

NPPES record last updated: August 13, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mansur Roy Dds NPPES

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

MANSUR ROY DDS (NPI 1104018399) is an individual periodontics provider in Warren, Michigan, licensed in Michigan (2901019480) and active in the NPI registry since August 2007.

NPPES Registry Identity

NPI1104018399
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameMANSUR ROYCredential: DDS
Location Address12000 E 12 MILE RDWarren, MI 48093-3570
Mailing Address12000 E 12 Mile RdWarren, MI 48093-3570 · (586) 576-4140
Phone(586) 576-4140
Sole ProprietorYes
Enumeration DateAugust 13, 2007
✔ NPI 1104018399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in MI · 2901019480
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
12000 E 12 MILE RD, Warren, MI 48093
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Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RACHEL BANADOS
Occupational Therapist
12000 E 12 MILE RD
WARREN, MI 48093
Macomb County (586) 573-5731
DR. ANA JANIC DDS
Dentist (Periodontics)
12000 E 12 MILE RD
WARREN, MI 48093
Macomb County (586) 576-4140
JARED LUTSIC DO
Orthopaedic Surgery
12000 E 12 MILE RD
WARREN, MI 48093
Macomb County (586) 759-7300
RUXANDRA ROSCA MD
Student in an Organized Health Care Education/Training Program
12000 E 12 MILE RD
WARREN, MI 48093
Macomb County (248) 978-9609
JORDIN SHELLEY RODEN-FOREMAN DO
Student in an Organized Health Care Education/Training Program
12000 E 12 MILE RD
WARREN, MI 48093
Macomb County (248) 546-2600
JOHN DOMINIC MONTEROSSO
Student in an Organized Health Care Education/Training Program
12000 E 12 MILE RD
WARREN, MI 48093
Macomb County (586) 582-7550
DR. RYAN MICHAEL SMITH D.O.
Family Medicine
12000 E 12 MILE RD
WARREN, MI 48093
Macomb County (586) 573-5000
JOHN CLAUDE KEMINK DO
Emergency Medicine (Emergency Medical Services)
12000 E 12 MILE RD
WARREN, MI 48093
Macomb County (586) 573-5000

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 Mansur Roy's NPI number?

The NPI number for Mansur Roy is 1104018399. It was assigned to this individual provider in the NPPES registry on August 13, 2007.

Where is Mansur Roy located?

Mansur Roy practices at 12000 E 12 Mile Rd, Warren, MI 48093. The listed phone number is (586) 576-4140.

What is Mansur Roy's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Mansur Roy was last updated on August 13, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.