Powell & Yun DDS PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

017212 Issued in MI

Legal business name

POWELL & YUN DDS PLLC

Practice address

4111 Okemos Road
Suite 202
Okemos, MI 48864

Phone

(517) 347-0777

Fax

(517) 347-8788

NPI assigned

Dec 6, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Matthew SM Yun, DDS

Title

Partner

Phone

(517) 347-0777

Specialties & licenses 2

Addresses

Other names 1

• PLLC Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Song Min Yun, D.D.S.

  • General Practice Dentistry
  • Okemos, MI
  • NPI 1417167800
  NPD (past)

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073671301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4111 OKEMOS ROAD",
            "address_2": "SUITE 202",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "48864",
            "telephone_number": "517-347-0777",
            "fax_number": "517-347-8788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4111 OKEMOS ROAD",
            "address_2": "SUITE 202",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "48864",
            "telephone_number": "517-347-0777",
            "fax_number": "517-347-8788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWELL & YUN DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YUN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "SM",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "517-347-0777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "014798",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "017212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PLLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Steven Ray Powell, D.D.S.
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• Dentist in Okemos, MI
• Providers in Okemos, MI by specialty
• Dentist 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.