NPIMap

Organization Active NPI

Preferred Dental Group

  • Preferred Provider Organization
  • Livonia, MI
National Provider Identifier
1033208707
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
2901012093 Issued in MI
Legal business name
PREFERRED DENTAL GROUP
Practice address
38000 Ann Arbor TRL
Livonia, MI 48150-2453
Phone
(734) 591-3636
Fax
(734) 591-3355
NPI assigned
Oct 12, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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. Chester J Regula Jr., DDSNPI 1669541470
Title
Owner
Phone
(734) 591-3636

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
Preferred Provider Organization 305R00000X 2901012093 MI Primary

Addresses

Primary practice location

38000 Ann Arbor TRL
Livonia, MI 48150-2453

Mailing address

38000 Ann Arbor TRL
Livonia, MI 48150-2453
Phone (734) 591-3636

National Provider Directory

National Provider Directory

Locations

38000 Ann Arbor Trl
Livonia, MI 48150
Phone (734) 591-3636

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033208707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38000 ANN ARBOR TRL",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481502453",
            "telephone_number": "734-591-3636",
            "fax_number": "734-591-3355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38000 ANN ARBOR TRL",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481502453",
            "telephone_number": "734-591-3636",
            "fax_number": "734-591-3355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REGULA",
        "authorized_official_first_name": "CHESTER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-591-3636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "MI",
            "license": "2901012093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, 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.