KHANZI ROBERTS RDH
NPI 1366201097
Dental Hygienist in Detroit, MI

Q: What is Khanzi Roberts's NPI number?

The NPI number for Khanzi Roberts is 1366201097. It was assigned to this individual provider in the NPPES registry on March 15, 2024.

Q: What is Khanzi Roberts's specialty?

The primary specialty registered for this NPI is Dental Hygienist with taxonomy code 124Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Khanzi Roberts was last updated on March 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 15, 2024

4909 E OUTER DR, DETROIT, MI 48234(313) 366-8000 Get Directions Write a Review

NPPES record last updated: March 15, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Khanzi Roberts Rdh NPPES

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

KHANZI ROBERTS RDH (NPI 1366201097) is an individual dental hygienist in Detroit, Michigan, licensed in Michigan (2902020690) and active in the NPI registry since March 2024. She maintains 3 additional practice locations.

NPPES Registry Identity

NPI1366201097

Entity TypeIndividualFemale

Primary Taxonomy124Q00000X

Provider Legal NameKHANZI ROBERTSCredential: RDH

Location Address4909 E OUTER DRDetroit, MI 48234-3446

Mailing Address2875 Troy Center Dr Apt P-31Troy, MI 48084-4758 · (816) 255-5334

Phone(313) 366-8000

Sole ProprietorYes

Enumeration DateMarch 15, 2024

NPPES CertifiedMarch 15, 2024

✔ NPI 1366201097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental HygienistDental Providers

Taxonomy Code124Q00000X

License✔ Licensed in MI · 2902020690

Definition

An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.

4909 E OUTER DR, Detroit, MI 48234

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Secondary Practice Locations 3

Location 121040 Greenfield RdOak Park, MI 48237-3025 · Phone (248) 967-6500

Location 22888 W Grand BlvdDetroit, MI 48202-2612 · Phone (313) 875-4200

Location 346156 Woodward AvePontiac, MI 48342-5033 · Phone (248) 897-0900

Other Providers at the Same Location NPPES 10

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

THE WELLNESS PLAN

Clinic/Center (Urgent Care)