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MICHIGAN HEAD & NECK INSTITUTE PC
NPI 1104871250
Dentist in Warren, MI

Active since May 24, 2006
3665 E 11 MILE RD, WARREN, MI 48092(586) 573-0438(586) 573-0186 Get Directions Write a Review

NPPES record last updated: June 28, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Michigan Head & Neck Institute Pc NPPES

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

MICHIGAN HEAD & NECK INSTITUTE PC (NPI 1104871250) is a healthcare organization registered as a dentist in Warren, Michigan and active in the NPI registry since May 2006. The organization lists Richard E Klein, Dds, as its authorized official.

NPPES Registry Identity

NPI1104871250
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameMICHIGAN HEAD & NECK INSTITUTE PC
Location Address3665 E 11 MILE RDWarren, MI 48092-4300
Mailing Address3665 E 11 Mile RdWarren, MI 48092-4300 · (586) 573-0438 · Fax (586) 573-0186
Phone(586) 573-0438
Fax(586) 573-0186
Organization SubpartNo
Authorized OfficialRichard E KleinDds · (586) 573-0438
Enumeration DateMay 24, 2006
Last NPPES UpdateJune 28, 2022
NPPES CertifiedJune 28, 2022
✔ NPI 1104871250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MI · 009174
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.
3665 E 11 MILE RD, Warren, MI 48092
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michigan Head & Neck Institute Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Michigan Head & Neck Institute PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Richard Klein, DDS
Oral Surgery
NPI 1225136054
3665 E 11 MILE RD
Warren, MI 48092
(586) 573-0438
✔ PECOS✔ Accepts MedicareSame address
Michael Haddad, DDS
Dentist
NPI 1821668302
989 SOUTH BLVD E STE 100
Rochester Hills, MI 48307
(586) 573-0438
✔ PECOS✔ Accepts Medicare9.4 mi
Renna Hatahet, DDS
Oral Surgery
NPI 1588272926
22190 GARRISON ST STE 204
Dearborn, MI 48124
(313) 900-4158
✔ PECOS16 mi
Chad Witkow, D.D.S.
Oral Surgery
NPI 1316099179
4279 W VIENNA RD
Clio, MI 48420
(810) 659-1721
✔ PECOS59 mi

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 Michigan Head & Neck Institute PC's NPI number?

The NPI number for Michigan Head & Neck Institute PC is 1104871250. It was assigned to this organization in the NPPES registry on May 24, 2006.

Where is Michigan Head & Neck Institute PC located?

Michigan Head & Neck Institute PC is located at 3665 E 11 Mile Rd, Warren, MI 48092. The listed phone number is (586) 573-0438.

What is Michigan Head & Neck Institute PC's specialty?

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

Is Michigan Head & Neck Institute PC enrolled in Medicare?

Yes. Michigan Head & Neck Institute PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Michigan Head & Neck Institute PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Michigan Head & Neck Institute PC. 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. The largest specialties are Oral Surgery (3) and Dentist (1). Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Michigan Head & Neck Institute PC was last updated on June 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.