# ASSOCIATED DENTISTS PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508934340
- **Authorized official:** NIZAR NAUM MANSOUR DDS MS (PRESIDENT)
- **Authorized official phone:** (248) 557-5461

## Contact information

- **Practice address:** 28437 GREENFIELD RD, SUITE 101, SOUTHFIELD, MI 48076
- **Practice address phone:** (248) 557-5461
- **Practice address fax:** (248) 559-3163
- **Mailing address:** 28437 GREENFIELD RD, SUITE 101, SOUTHFIELD, MI 48076
- **Mailing address phone:** (248) 557-5461
- **Mailing address fax:** (248) 559-3163

## Taxonomy

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

## Other

- **Enumeration date:** 12/01/2006
- **Last updated:** 09/27/2012