# AMIR NAFSO DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bloomfield Hills Dental Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295984177
- **Authorized official:** LACEY SAVAYA (BILLING SPECIALIST)
- **Authorized official phone:** (248) 422-3200

## Contact information

- **Practice address:** 36700 WOODWARD AVE STE 200, BLOOMFIELD HILLS, MI 48304-0930
- **Practice address phone:** (248) 290-2900
- **Practice address fax:** (248) 290-2904
- **Mailing address:** 36700 WOODWARD AVE STE 200, BLOOMFIELD HILLS, MI 48304-0930
- **Mailing address phone:** (248) 290-9000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 09/16/2008
- **Last updated:** 06/23/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 20080125078770 | — | MI |
| 05 | — | 20080125773595 | — | MI |
| 05 | — | 20080125976967 | — | MI |
| 05 | — | 2008012930092 | — | MI |