Organization Active NPI

Suttons Bay Dental Center PLLC

  • Dental Clinic/Center
  • Suttons Bay, MI
National Provider Identifier
1023401676
Registry record updated Mar 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
2901017048 Issued in MI
Legal business name
SUTTONS BAY DENTAL CENTER PLLC
Practice address
1299 S West Bay Shore Dr
Suttons Bay, MI 49682-9498
Phone
(231) 271-6700
NPI assigned
Mar 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2015

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

Authorized official

Name
Dr. Steve Hall, DDS
Title
Owner/Dentist
Phone
(231) 271-6700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 2901017048 MI Primary

Addresses

Primary practice location

1299 S West Bay Shore Dr
Suttons Bay, MI 49682-9498

Mailing address

1299 SW Bayshore Drve
Suttons Bay, MI 49682
Phone (231) 271-6700

National Provider Directory

National Provider Directory

Locations

1299 SW Bayshore Dr
Suttons Bay, MI 49682
Phone (231) 271-6700

Practitioners & affiliated clinicians

Practitioners 2

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": "1425600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425600000000",
    "number": "1023401676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1299 SW BAYSHORE DRVE",
            "city": "SUTTONS BAY",
            "state": "MI",
            "postal_code": "49682",
            "telephone_number": "231-271-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1299 S WEST BAY SHORE DR",
            "city": "SUTTONS BAY",
            "state": "MI",
            "postal_code": "496829498",
            "telephone_number": "231-271-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUTTONS BAY DENTAL CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-06",
        "last_updated": "2015-03-06",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "231-271-6700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MI",
            "license": "2901017048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suttons Bay, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2015; 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.