# ADVANCED WARREN DENTAL 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:** 1790006385
- **Authorized official:** DR. SHAKIB HALABU D.D.S (DENTIST)
- **Authorized official phone:** (586) 755-4310

## Contact information

- **Practice address:** 27600 HOOVER RD, WARREN, MI 48093-7721
- **Practice address phone:** (586) 755-4310
- **Mailing address:** 27600 HOOVER RD, WARREN, MI 48093-7721
- **Mailing address phone:** (586) 755-4310

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 2901011201 | MI | Yes |

## Other

- **Enumeration date:** 06/17/2010
- **Last updated:** 06/17/2010