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EASTSIDE FAMILY DENTISTRY
NPI 1649595232
Dentist - General Practice in Shelby Township, MI

Active since April 07, 2010
48926 SCHOENHERR RD., SHELBY TOWNSHIP, MI 48315(586) 566-5660 Get Directions Write a Review

NPPES record last updated: April 7, 2010. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Eastside Family Dentistry NPPES

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

EASTSIDE FAMILY DENTISTRY (NPI 1649595232) is a healthcare organization registered as a general practice in Shelby Township, Michigan and active in the NPI registry since April 2010. The organization lists Fadi George Keyorkgy, Owner, as its authorized official.

NPPES Registry Identity

NPI1649595232
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameEASTSIDE FAMILY DENTISTRY
Location Address48926 SCHOENHERR RD.Shelby Township, MI 48315
Mailing Address48926 Schoenherr Rd.Shelby Township, MI 48315 · (586) 566-5660
Phone(586) 566-5660
Organization SubpartNo
Authorized OfficialFadi George KeyorkgyOwner · (586) 566-5660
Enumeration DateApril 7, 2010
✔ NPI 1649595232 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 · 2901016598
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.
48926 SCHOENHERR RD., Shelby Township, MI 48315
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Other Identifiers 1

Medicaid3369505MI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Eastside Family Dentistry's NPI number?

The NPI number for Eastside Family Dentistry is 1649595232. It was assigned to this organization in the NPPES registry on April 7, 2010.

Where is Eastside Family Dentistry located?

Eastside Family Dentistry is located at 48926 Schoenherr Rd., Shelby Township, MI 48315. The listed phone number is (586) 566-5660.

What is Eastside Family Dentistry's specialty?

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

When was this NPI record last updated?

The NPPES record for Eastside Family Dentistry was last updated on April 7, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.