Enbrite Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ENBRITE DENTAL PLLC

Practice address

416 E Pottawatamie St
Tecumseh, MI 49286-2016

Phone

(517) 301-4200

NPI assigned

Oct 5, 2016

Last updated

Oct 5, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Matt Schuster

Title

Cfo

Phone

(248) 790-5650

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1475625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475625600000",
    "number": "1043760812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 E POTTAWATAMIE ST",
            "city": "TECUMSEH",
            "state": "MI",
            "postal_code": "492862016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 E POTTAWATAMIE ST",
            "city": "TECUMSEH",
            "state": "MI",
            "postal_code": "492862016",
            "telephone_number": "517-301-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENBRITE DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-05",
        "last_updated": "2016-10-05",
        "status": "A",
        "authorized_official_last_name": "SCHUSTER",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "248-790-5650",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanya Dusseau, LMSW
• Sean T Edison, D.C.
• Mia Ellison
• Labinot Elmazi, PHARMD
• Charles Edward Elmore, RPH
• Eric T. Anklin, OD, PC (Anklin Eye Care)
• Eugenius SBC Ang, MD PC
• Lorette Vanessa Fahie, MD
• Family Care Specialists, PC
• Taryn Fether

• General Practice Dentistry in Tecumseh, MI
• Providers in Tecumseh, 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 Oct 5, 2016; 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.