Organization Active NPI

Boss Dental, PLC

  • Dentist
  • Mt Pleasant, MI
National Provider Identifier
1013154806
Registry record updated Jan 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901019427 Issued in MI
Legal business name
BOSS DENTAL, PLC
Practice address
905 E. Pickard
Suite a
Mt. Pleasant, MI 48858
Phone
(989) 775-3336
Fax
(989) 773-4042
NPI assigned
Jan 15, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2009

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

Authorized official

Name
Dr. William Charles Boss, DMD
Title
President
Phone
(617) 331-3868

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 2901019427 MI Primary

Addresses

Primary practice location

905 E. Pickard
Suite a
Mt. Pleasant, MI 48858

Mailing address

905 E. Pickard
Suite a
Mt. Pleasant, MI 48858
Phone (989) 775-3336

Other names 1

  • Mt Pleasant Family Dentistry Other name

National Provider Directory

National Provider Directory

Locations

905 E Pickard St
Ste A
Mt Pleasant, MI 48858
Phone (989) 775-3336

NPI Registry JSON

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

{
    "created_epoch": "1231977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231977600000",
    "number": "1013154806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 E. PICKARD",
            "address_2": "SUITE A",
            "city": "MT. PLEASANT",
            "state": "MI",
            "postal_code": "48858",
            "telephone_number": "989-775-3336",
            "fax_number": "989-773-4042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 E. PICKARD",
            "address_2": "SUITE A",
            "city": "MT. PLEASANT",
            "state": "MI",
            "postal_code": "48858",
            "telephone_number": "989-775-3336",
            "fax_number": "989-773-4042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSS DENTAL, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-15",
        "last_updated": "2009-01-15",
        "status": "A",
        "authorized_official_last_name": "BOSS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-331-3868",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901019427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mt Pleasant Family Dentistry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mt Pleasant, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2009; 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.