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AMAZING DENTAL PORT HURON
NPI 1427568237
Clinic/Center - Dental in Fort Gratiot, MI

Active since October 06, 2017
4035 24TH AVE, FORT GRATIOT, MI 48059(810) 385-9766 Get Directions Write a Review

NPPES record last updated: October 6, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amazing Dental Port Huron NPPES

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

AMAZING DENTAL PORT HURON (NPI 1427568237) is a healthcare organization registered as a dental in Fort Gratiot, Michigan and active in the NPI registry since October 2017. The organization lists Shams Hamama, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1427568237
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameAMAZING DENTAL PORT HURON PLLC
Location Address4035 24TH AVEFort Gratiot, MI 48059-3801
Mailing Address4035 24th AveFort Gratiot, MI 48059-3801
Phone(810) 385-9766
Organization SubpartNo
Authorized OfficialShams HamamaCredentialing · (248) 910-4819
Enumeration DateOctober 6, 2017
✔ NPI 1427568237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
4035 24TH AVE, Fort Gratiot, MI 48059
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Other Names 1

Doing Business AsAmazing Dental Port Huron

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 Amazing Dental Port Huron PLLC's NPI number?

The NPI number for Amazing Dental Port Huron PLLC is 1427568237. It was assigned to this organization in the NPPES registry on October 6, 2017. The provider is doing business as Amazing Dental Port Huron.

Where is Amazing Dental Port Huron PLLC located?

Amazing Dental Port Huron PLLC is located at 4035 24th Ave, Fort Gratiot, MI 48059. The listed phone number is (810) 385-9766.

What is Amazing Dental Port Huron PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Amazing Dental Port Huron PLLC was last updated on October 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.