NPIMap

Organization Active NPI

Ao of Mt Morris PLLC

Doing business as My Forever Smile Mt Morris

  • General Practice Dentistry
  • Mount Morris, MI
National Provider Identifier
1043855943
Registry record updated Nov 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
AO OF MT MORRIS PLLC
Doing business as
My Forever Smile Mt Morris
Practice address
8326 N Saginaw Rd
Mount Morris, MI 48458-1648
Phone
(810) 687-5040
NPI assigned
Nov 14, 2019
Last updated
Nov 14, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2019

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

Authorized official

Name
Donald J Sabourin, DDSNPI 1154396968
Title
Owner/Dentist
Phone
(989) 792-8315

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

8326 N Saginaw Rd
Mount Morris, MI 48458-1648

Mailing address

3456 Shattuck Rd Ste 4
Saginaw, MI 48603-7003
Phone (989) 792-8315

Other names 1

  • My Forever Smile Mt Morris Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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": "1573689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573689600000",
    "number": "1043855943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3456 SHATTUCK RD STE 4",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486037003",
            "telephone_number": "989-792-8315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8326 N SAGINAW RD",
            "city": "MOUNT MORRIS",
            "state": "MI",
            "postal_code": "484581648",
            "telephone_number": "810-687-5040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AO OF MT MORRIS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-14",
        "last_updated": "2019-11-14",
        "status": "A",
        "authorized_official_last_name": "SABOURIN",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "989-792-8315",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Forever Smile Mt Morris",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Morris, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2019; 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.