WAYNE COUNTY HEALTH DEPARTMENT - NPI 1821250184

Q: What is Wayne County Health Department's NPI number?

The NPI number for Wayne County Health Department is 1821250184. It was assigned to this organization in the NPPES registry on June 27, 2008.

Q: What is Wayne County Health Department's specialty?

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

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About Wayne County Health Department NPPES

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

WAYNE COUNTY HEALTH DEPARTMENT (NPI 1821250184) is a healthcare organization registered as a dentist in Wayne, Michigan and active in the NPI registry since June 2008. The organization lists James Banaszak, Accounting Supervisor, as its authorized official.

NPPES Registry Identity

NPI1821250184

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameWAYNE COUNTY HEALTH DEPARTMENT

Location Address33030 VAN BORN RDWayne, MI 48184-2453

Mailing Address33030 Van Born RdWayne, MI 48184-2453 · (734) 727-7208 · Fax (737) 727-7005

Phone(734) 727-7208

Fax(737) 727-7005

Organization SubpartYesParent: Wayne County

Authorized OfficialJames BanaszakAccounting Supervisor · (734) 727-7208

Enumeration DateJune 27, 2008

✔ NPI 1821250184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Licenses✔ Licensed in MI · 2901012332✔ Licensed in MI · 2901011217✔ Licensed in MI · 2901010538

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.

33030 VAN BORN RD, Wayne, MI 48184

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Other Identifiers 3

Medicaid744045109MI

Medicaid744054000MI

Medicaid741846106MI

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2030664

Wayne County Dept Of Public Health · Wayne, MI

Expired · May 31, 2026

CLIA Number23D2030664

Laboratory TypePublic Health Laboratories

Certificate Effective DateJune 1, 2024

Certificate Expiration DateMay 31, 2026

Laboratory DirectorAvani Sheth

Laboratory Phone(734) 727-7150

Laboratory LocationWayne County Dept Of Public Health33030 Van Born Road, Wayne, MI 48184

CLIA data matches this NPI record on: Address

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

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

DR. DAVID MICHAEL REPASKY D.D.S., M.P.H.

Dentist (Dental Public Health)