Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bloomfield Hills Dental Group PLLC

Organization Periodontics · NPI 1902473374

Bloomfield Hills Dental Group PLLC is a Periodontics in Bloomfield Hills, Michigan. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

43902 Woodward Ave Ste 220
Bloomfield Hills, MI 48302-5022
Phone: (248) 335-4427
Fax: (248) 332-2014
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X

Record details

NPI number1902473374
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Omar Elbanhawy — Owner · (248) 335-4427
NPI enumeratedJune 5, 2021
Last updated in NPPESJune 5, 2021
Certification dateMay 6, 2021
Mailing address43902 Woodward Ave Ste 220, Bloomfield Hills, MI 48302-5022

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