# MICHIGAN FAMILY DENTISTRY, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Amazing Smiles
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902389984
- **Authorized official:** DR. RAMI JANDALI DMD, MS (OWNER)
- **Authorized official phone:** (248) 626-6526

## Contact information

- **Practice address:** 26699 W 12 MILE RD STE 200, SOUTHFIELD, MI 48034-7815
- **Practice address phone:** (248) 626-6526
- **Practice address fax:** (248) 626-6529
- **Mailing address:** 26699 W 12 MILE RD STE 200, SOUTHFIELD, MI 48034-7815
- **Mailing address phone:** (248) 626-6526
- **Mailing address fax:** (248) 626-6529

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | — | NULL | — |
| 1223P0221X | Pediatric Dentistry | — | — | — |
| 1223P0700X | Prosthodontics | — | NULL | Yes |
| 1223P0700X | Prosthodontics | — | — | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | — |
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | — | NULL | — |
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | — | — | — |

## Other

- **Enumeration date:** 09/14/2018
- **Last updated:** 03/04/2021