Dr. Tedders Office PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DR. TEDDERS OFFICE PLLC

Practice address

3595 Ann Arbor Rd
Jackson, MI 49202-2703

Phone

(517) 748-9440

Fax

(517) 748-9442

NPI assigned

Jul 21, 2021

Organization subpart

No

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

Authorized official

Name

Heidi Kies

Title

Administrative Assistant

Phone

(517) 748-9440

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1626825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626825600000",
    "number": "1023681772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3595 ANN ARBOR RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492022703",
            "telephone_number": "517-748-9440",
            "fax_number": "517-748-9442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3595 ANN ARBOR RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492022703",
            "telephone_number": "517-748-9440",
            "fax_number": "517-748-9442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. TEDDERS OFFICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-21",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A",
        "authorized_official_last_name": "KIES",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "517-748-9440"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "sendinc.com",
            "affiliation": "N",
            "address_1": "3595 Ann Arbor Rd",
            "city": "Jackson",
            "state": "MI",
            "country_code": "US",
            "postal_code": "492022703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dr Howard Newman PC
• Dr Martins Foot and Ankle Clinic
• Dr. Arthur Sonneborn DDS
• Dr. Bhavna Patel D.D.S, P.C
• Dr. Nicholas Lagow, P.C.
• Kristin Ann Draffen, CSW
• Brett John Dragomer, PHARM.D.
• Brian Draper
• Matthew Lewis Draper, FNP-C, RN, AT, ATC
• Joseph C Drumm, DO

• Dental Clinic/Center in Jackson, MI
• Providers in Jackson, MI by specialty
• Dental Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; 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.