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Active NPI 1083663702 Individual Practitioner Male Practitioner

Dr. Shadows Oye Bedell , DDS

Dentist - General Practice • Detroit, MI

Professional Overview & Biography Verified Profile Summary

Dr. Shadows Bedell, DDS is a registered healthcare professional specializing in Dentist - General Practice in Detroit, MI. Practice services are available at 19600 VAN DYKE STREET under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

19600 Van Dyke Street

Detroit, MI 482343328

Telephone 3138929100
Fax 3138920204

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Detroit, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.0 Yrs
State Avg: 15.8 Yrs
Regional Practice Density
128 Specialists

Practicing in Detroit, MI (4360 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 - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MI 2901012360

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1240515450372 (MI)
Medicaid State Provider ID
1242908490512 (MI)

Career & Practice History Timeline

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

6 Historical Events
✅
NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 19600 VAN DYKE STREET, DETROIT, MI 482343328 (Tel: 3138929100)

📍
Updated Business Mailing Address July 09, 2007

Registered at 19600 VAN DYKE STREET, DETROIT, MI 482343328 (Tel: 3138929100)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as SHADOWS BEDELL, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Dentist (License #2901012360 in MI)

🟢
Initial NPI Registration & Enumeration May 09, 2006

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: 1083663702
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 09, 2006
Last Update: July 13, 2026
Sole Proprietor: No
Update or Correct Profile

Mailing Address

19600 Van Dyke Street

Detroit, MI 482343328

Phone: 3138929100

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.