Victor E Premen DDS PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

2901009955 Issued in MI

Legal business name

VICTOR E PREMEN DDS PC

Practice address

26332 E Huron River Dr
Flat Rock, MI 48134-1553

Phone

(734) 782-3087

Fax

(734) 782-9733

NPI assigned

Oct 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Victor E Premen Sr., DDS

Title

President

Phone

(734) 782-3087

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043308000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1028",
            "city": "FLAT ROCK",
            "state": "MI",
            "postal_code": "481342028",
            "telephone_number": "734-782-3087",
            "fax_number": "734-782-9733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26332 E HURON RIVER DR",
            "city": "FLAT ROCK",
            "state": "MI",
            "postal_code": "481341553",
            "telephone_number": "734-782-3087",
            "fax_number": "734-782-9733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTOR E PREMEN DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PREMEN",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-782-3087",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MI",
            "license": "2901009955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Flat Rock, MI
• Providers in Flat Rock, 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 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.