South Flint Dental Center, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901012801 Issued in MI

Legal business name

SOUTH FLINT DENTAL CENTER, PC

Practice address

G3276 S Grand Traverse St
Burton, MI 48529-1152

Phone

(810) 742-4320

NPI assigned

Oct 8, 2006

Organization subpart

No

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

Authorized official

Name

Trina Floyd, D.D.S.

Title

Owner

Phone

(810) 742-4320

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1160265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033206255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "G3276 S GRAND TRAVERSE ST",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485291152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "G3276 S GRAND TRAVERSE ST",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485291152",
            "telephone_number": "810-742-4320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH FLINT DENTAL CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FLOYD",
        "authorized_official_first_name": "TRINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-742-4320",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901012801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Burton, MI
• Providers in Burton, MI by specialty
• General Practice Dentistry in Michigan

• 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.