SHORELINE DENTAL CENTER
NPI 1063609220
Dentist in Saint Clair Shores, MI

NPI Status: Active since October 01, 2007

Contact Information

31118 HARPER AVE
SAINT CLAIR SHORES, MI
ZIP 48082
Phone: (586) 285-2000
Fax: (586) 285-2499

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  • Organization
  • Dentist

About SHORELINE DENTAL CENTER

This page provides the complete NPI Profile along with additional information for Shoreline Dental Center, a provider established in Saint Clair Shores, Michigan operating as a Dentist. The healthcare provider is registered in the NPI registry with number 1063609220 assigned on October 2007. The practitioner's primary taxonomy code is 122300000X with license number 2901007772 (MI). The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Samuel Paul Weiner Dds (Owner)

NPI
1063609220
Provider Name
SHORELINE DENTAL CENTER
Entity Type
Organization
Location Address
31118 HARPER AVE SAINT CLAIR SHORES, MI 48082
Location Phone
(586) 285-2000
Location Fax
(586) 285-2499
Mailing Address
31118 HARPER AVE SAINT CLAIR SHORES, MI 48082
Mailing Phone
(586) 285-2000
Mailing Fax
(586) 285-2499
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-01-2007
Last Update Date
10-01-2007
Code Navigator

A dentist like Shoreline Dental Center is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist

Taxonomy Code
122300000X
Type
Dental Providers
License No.
2901007772
License State
MI
Taxonomy Description
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.

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. SAMUEL PAUL WEINER DDS

Authorized Official Title
OWNER
Authorized Official Phone
(586) 285-2000

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1063609220
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
201231201824
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 2 + 3 + 1 + 2 + 0 + 1 + 8 + 2 + 4 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1063609220 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1144470295DR. MOHAMMAD SAIFUL ISLAM DDS PHD
Individual
Dentist (General Practice)31118 HARPER AVE
SAINT CLAIR SHORES, MI 48082
(651) 955-6448
1245589563PROFESSIONAL DENTAL ALLIANCE OF MICHIGAN, LLC
Organization
Dentist31118 HARPER AVE
SAINT CLAIR SHORES, MI 48082
(586) 285-2000
1265923544 VINCENT DAWISHA
Individual
Dentist (General Practice)31118 HARPER AVE
SAINT CLAIR SHORES, MI 48082
(586) 285-2000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063609220, enumerated in the NPI registry as an "organization" on October 01, 2007

The provider is located at 31118 Harper Ave Saint Clair Shores, Mi 48082 and the phone number is (586) 285-2000

This medical organization specializes in Dentist with taxonomy code 122300000X

This NPI record was last updated on October 01, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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