Suheil Boutros, DDS MS
Suheil Boutros, DDS MS is a provider specialising in Periodontics in Bloomfield Hills, MI, registered under NPI 1558434480.
Getting there
The practice address on file is 300 E LONG LAKE SUITE 290, Bloomfield Hills, MI 48304. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 2901016909 | MI | Periodontics primary |
| 16909 | MI | Periodontics |
This provider holds licence 2901016909 issued in MI. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Order And Referring Only - Dentist
- PAC ID
- 6608976030
- Enrollment ID
- I20160216000345
Medicare enrolment is recorded as approved under the provider type Order And Referring Only - Dentist. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Periodontics covers
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. NUCC Health Care Provider Taxonomy, code 1223P0300X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 1223P0300X | Periodontics Periodontics | 2901016909 | MI | primary |
| 1223P0300X | Periodontics Periodontics | 16909 | MI |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1558434480 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Nov 16, 2006 |
| Last updated | Oct 1, 2021 |
| Status | Active |
| Sole proprietor | No |
| Credential | DDS MS |
| Practice address |
300 E LONG LAKE SUITE 290 Bloomfield Hills, MI 48304 (248) 647-0516 Fax (248) 433-1664 |
| Mailing address |
5900 GEDDES RD Ypsilanti, MI 48198 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 5 | 5 | 8 | 4 | 3 | 4 | 4 | 8 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 5 | 1 | 8 | 8 | 3 | 8 | 4 | 7 |
Sum = 70 · next multiple of 10 = 70 · check digit = 0 · actual last digit = 0
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.