Healthcare Provider Details

I. General information

NPI: 1336058874
Provider Name (Legal Business Name): BUSCEMI FAMILY DENTISTRY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60 W BIG BEAVER RD STE 140
BLOOMFIELD HILLS MI
48304-3913
US

IV. Provider business mailing address

60 W BIG BEAVER RD STE 140
BLOOMFIELD HILLS MI
48304-3913
US

V. Phone/Fax

Practice location:
  • Phone: 248-646-6363
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: DR. VINCENT BUSCEMI
Title or Position: OWNER
Credential: DDS
Phone: 248-646-6363