Provider Demographics
NPI:1043089543
Name:MERCY DENTAL PLLC
Entity type:Organization
Organization Name:MERCY DENTAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ADNAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ALAMDI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:313-522-3015
Mailing Address - Street 1:5901 CHASE RD STE 200
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48126-0900
Mailing Address - Country:US
Mailing Address - Phone:313-467-0500
Mailing Address - Fax:313-467-1231
Practice Address - Street 1:5901 CHASE RD STE 200
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48126-0900
Practice Address - Country:US
Practice Address - Phone:313-467-0500
Practice Address - Fax:313-467-1231
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-26
Last Update Date:2023-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty