Organization Active NPI

Michelle M Guo DDS PLLC

  • General Practice Dentistry
  • Livonia, MI
National Provider Identifier
1053617639
Registry record updated Apr 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901020128 Issued in MI
Legal business name
MICHELLE M GUO DDS PLLC
Practice address
29522 6 Mile Rd Ste a
Livonia, MI 48152-4558
Phone
(734) 425-7888
NPI assigned
Jan 31, 2011
Last updated
Apr 18, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2022

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

Authorized official

Name
Dr. Mengtao Guo, DDS
Title
Owner
Phone
(734) 425-7888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901020128 MI Primary

Addresses

Primary practice location

29522 6 Mile Rd Ste a
Livonia, MI 48152-4558

Mailing address

29522 6 Mile Rd Ste a
Livonia, MI 48152-4558
Phone (734) 425-7888

National Provider Directory

National Provider Directory

Locations

29522 6 Mile Rd
Livonia, MI 48152
Phone (734) 425-7888

29522 6 Mile Rd
Ste A
Livonia, MI 48152
Phone (734) 425-7888

Practitioners & affiliated clinicians

Practitioners 3

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": "1296432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650240000000",
    "number": "1053617639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29522 6 MILE RD STE A",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481524558",
            "telephone_number": "734-425-7888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29522 6 MILE RD STE A",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481524558",
            "telephone_number": "734-425-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE M GUO DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-31",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A",
        "authorized_official_last_name": "GUO",
        "authorized_official_first_name": "MENGTAO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-425-7888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901020128",
            "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 Apr 18, 2022; 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.