NPIMap

Organization Active NPI

The Dental Clinic PC

  • General Practice Dentistry
  • Lincoln Park, MI
National Provider Identifier
1003929662
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
THE DENTAL CLINIC PC
Practice address
1359 Champaign
Lincoln Park, MI 48146-3303
Phone
(313) 386-9660
Fax
(313) 386-5515
NPI assigned
Aug 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Thomas Michael Collins, DDSNPI 1114022779
Title
President
Phone
(313) 386-9660

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1359 Champaign
Lincoln Park, MI 48146-3303

Mailing address

1359 Champaign
Lincoln Park, MI 48146-3303
Phone (313) 386-9660

Other identifiers 1

IdentifierTypeStateIssuer
1958213740OtherMIBLUE CROSS MEDICAL

National Provider Directory

National Provider Directory

Locations

1359 Champaign Rd
Lincoln Park, MI 48146
Phone (313) 386-9660

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003929662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1359 CHAMPAIGN",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481463303",
            "telephone_number": "313-386-9660",
            "fax_number": "313-386-5515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1359 CHAMPAIGN",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481463303",
            "telephone_number": "313-386-9660",
            "fax_number": "313-386-5515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DENTAL CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-386-9660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS MEDICAL",
            "identifier": "1958213740",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.