Organization Active NPI

Romulus Family Dental, PLLC

  • General Practice Dentistry
  • Romulus, MI
National Provider Identifier
1033322706
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ROMULUS FAMILY DENTAL, PLLC
Practice address
37235 Goddard Rd
Romulus, MI 48174-1215
Phone
(734) 941-0343
Fax
(734) 941-7694
NPI assigned
May 8, 2007
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
Lynda McCarty
Title
Office Manager
Phone
(734) 941-0343

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

37235 Goddard Rd
Romulus, MI 48174-1215

Mailing address

37235 Goddard Rd
Romulus, MI 48174-1215
Phone (734) 941-0343

National Provider Directory

National Provider Directory

Locations

37235 Goddard Rd
Romulus, MI 48174
Phone (734) 941-0343

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": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033322706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37235 GODDARD RD",
            "city": "ROMULUS",
            "state": "MI",
            "postal_code": "481741215",
            "telephone_number": "734-941-0343",
            "fax_number": "734-941-7694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37235 GODDARD RD",
            "city": "ROMULUS",
            "state": "MI",
            "postal_code": "481741215",
            "telephone_number": "734-941-0343",
            "fax_number": "734-941-7694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROMULUS FAMILY DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCCARTY",
        "authorized_official_first_name": "LYNDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "734-941-0343"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Romulus, 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.