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SHADOWS O.BEDELL DDS.P.C.
NPI 1427247758
Dentist - General Practice in Detroit, MI

Active since October 23, 2007
19600 VAN DYKE ST, DETROIT, MI 48234(313) 892-9148(313) 892-0204 Get Directions Write a Review

NPPES record last updated: November 2, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shadows O.bedell Dds.p.c. NPPES

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

SHADOWS O.BEDELL DDS.P.C. (NPI 1427247758) is a healthcare organization registered as a general practice in Detroit, Michigan and active in the NPI registry since October 2007. The organization lists Shadows O Bedell, Dentist, as its authorized official.

NPPES Registry Identity

NPI1427247758
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSHADOWS O.BEDELL DDS.P.C.
Location Address19600 VAN DYKE STDetroit, MI 48234-3325
Mailing Address19600 Van Dyke StDetroit, MI 48234-3325 · (313) 892-9148 · Fax (313) 892-0204
Phone(313) 892-9148
Fax(313) 892-0204
Organization SubpartNo
Authorized OfficialShadows O BedellDentist · (313) 892-9148
Enumeration DateOctober 23, 2007
Last NPPES UpdateNovember 2, 2007
✔ NPI 1427247758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MI · 12360
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
19600 VAN DYKE ST, Detroit, MI 48234
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Other Identifiers 3

Medicaid1083663702MI
Medicaid1720148018MI
Medicaid1801967757MI

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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 Shadows O.Bedell Dds.P.C.'s NPI number?

The NPI number for Shadows O.Bedell Dds.P.C. is 1427247758. It was assigned to this organization in the NPPES registry on October 23, 2007.

Where is Shadows O.Bedell Dds.P.C. located?

Shadows O.Bedell Dds.P.C. is located at 19600 Van Dyke St, Detroit, MI 48234. The listed phone number is (313) 892-9148.

What is Shadows O.Bedell Dds.P.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Shadows O.Bedell Dds.P.C. accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Cross Blue Shield of Michigan Mutual Insurance Company and DENCAP Dental Plans, Inc and 1 other insurer list Shadows O.Bedell Dds.P.C. 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 Shadows O.Bedell Dds.P.C. was last updated on November 2, 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.