Healthcare Provider Details

I. General information

NPI: 1548390230
Provider Name (Legal Business Name): MEENA KISHAN SABNIS D.D.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/06/2007
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39890 W 14 MILE RD
COMMERCE TOWNSHIP MI
48390-3911
US

IV. Provider business mailing address

39890 W 14 MILE RD
COMMERCE TOWNSHIP MI
48390-3911
US

V. Phone/Fax

Practice location:
  • Phone: 248-624-8090
  • Fax: 248-624-8288
Mailing address:
  • Phone: 248-624-8090
  • Fax: 248-624-8288

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number2901018553
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number2901018553
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: