BLOOMFIELD HILLS DENTAL GROUP PLLC
NPI 1902473374
Dentist - Periodontics in Bloomfield Hills, MI

Active since June 05, 2021
43902 WOODWARD AVE STE 220, BLOOMFIELD HILLS, MI 48302(248) 335-4427(248) 332-2014 Get Directions Write a Review

NPPES record last updated: June 5, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bloomfield Hills Dental Group Pllc NPPES

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

BLOOMFIELD HILLS DENTAL GROUP PLLC (NPI 1902473374) is a healthcare organization registered as a periodontics in Bloomfield Hills, Michigan and active in the NPI registry since June 2021. The organization lists Omar Elbanhawy, Owner, as its authorized official.

NPPES Registry Identity

NPI1902473374
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameBLOOMFIELD HILLS DENTAL GROUP PLLC
Location Address43902 WOODWARD AVE STE 220Bloomfield Hills, MI 48302-5022
Mailing Address43902 Woodward Ave Ste 220Bloomfield Hills, MI 48302-5022 · (248) 335-4427 · Fax (248) 332-2014
Fax(248) 332-2014
Organization SubpartNo
Authorized OfficialOmar ElbanhawyOwner · (248) 335-4427
Enumeration DateJune 5, 2021
NPPES CertifiedMay 6, 2021
NPI 1902473374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
43902 WOODWARD AVE STE 220, Bloomfield Hills, MI 48302

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 SINGLE 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 Bloomfield Hills Dental Group PLLC's NPI number?

The NPI number for Bloomfield Hills Dental Group PLLC is 1902473374. It was assigned to this organization in the NPPES registry on June 5, 2021.

Where is Bloomfield Hills Dental Group PLLC located?

Bloomfield Hills Dental Group PLLC is located at 43902 Woodward Ave Ste 220, Bloomfield Hills, MI 48302. The listed phone number is (248) 335-4427.

What is Bloomfield Hills Dental Group PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Bloomfield Hills Dental Group PLLC was last updated on June 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.