Provider Demographics
NPI:1548912439
Name:AMDI DENTAL PLLC
Entity type:Organization
Organization Name:AMDI DENTAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
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 1:9301 CONANT ST
Mailing Address - Street 2:
Mailing Address - City:HAMTRAMCK
Mailing Address - State:MI
Mailing Address - Zip Code:48212-3505
Mailing Address - Country:US
Mailing Address - Phone:313-522-3015
Mailing Address - Fax:313-462-3972
Practice Address - Street 1:9301 CONANT ST
Practice Address - Street 2:
Practice Address - City:HAMTRAMCK
Practice Address - State:MI
Practice Address - Zip Code:48212-3505
Practice Address - Country:US
Practice Address - Phone:313-522-3015
Practice Address - Fax:313-462-3972
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-21
Last Update Date:2022-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental