Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104018399 Individual Practitioner Male Practitioner

Dr. Mansur Roy , DDS

Dentist - Periodontics • Warren, MI

Professional Overview & Biography Verified Profile Summary

Dr. Mansur Roy, DDS is a registered healthcare professional specializing in Dentist - Periodontics in Warren, MI. Practice services are available at 12000 E 12 MILE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12000 E 12 Mile Rd

Warren, MI 480933570

Telephone 5865764140

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Periodontics in Warren, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
8 Specialists

Practicing in Warren, MI (178 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - Periodontics Primary Specialty

NUCC Taxonomy Code: 1223P0300X

State License MI 2901019480

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners
Dr. Fritz Brink , DO

General Practice

NPI 1063862415

Doctor of Osteopathic Medicine (D.O.)

Dr. Ana Janic , DDS

Dentist - Periodontics

NPI 1083879514

Doctor of Dental Surgery

Dr. Aye Thet , MD

Student in an Organized Health Care Education/Training Program

NPI 1124518477

Doctor of Medicine (M.D.)

Dr. Mark Grinzinger , DDS, MD

Dentist - Oral and Maxillofacial Surgery

NPI 1376923623

Doctor of Dental Surgery, Doctor of Medicine (M.D.)

NPI 1497041172

Doctor of Osteopathic Medicine (D.O.)

NPI 1578090940

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 13, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location August 13, 2007

Registered at 12000 E 12 MILE RD, WARREN, MI 480933570 (Tel: 5865764140)

📍
Updated Business Mailing Address August 13, 2007

Registered at 12000 E 12 MILE RD, WARREN, MI 480933570 (Tel: 5865764140)

👤
Provider Name / Credentials Updated August 13, 2007

Recorded as MANSUR ROY, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 13, 2007

Dentist (License #2901019480 in MI)

🟢
Initial NPI Registration & Enumeration August 13, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104018399
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 13, 2007
Last Update: August 13, 2007
Sole Proprietor: Yes

Mailing Address

12000 E 12 Mile Rd

Warren, MI 480933570

Phone: 5865764140

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.