NPIMap

Organization Active NPI

Dental Dreams, PLLC

  • General Practice Dentistry
  • Flint, MI
National Provider Identifier
1083995526
Registry record updated Aug 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901020515 Issued in MI
Legal business name
DENTAL DREAMS, PLLC
Practice address
2501 W Pierson Rd
Units B-D
Flint, MI 48504-6802
Phone
(810) 789-5880
NPI assigned
Aug 29, 2011
Last updated
Aug 29, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2011

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

Authorized official

Name
Elizabeth Lee
Title
Enrollment/Development Coord.
Phone
(312) 274-4526

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901020515 MI Primary

Addresses

Primary practice location

2501 W Pierson Rd
Units B-D
Flint, MI 48504-6802

Mailing address

2501 W Pierson Rd
Units B-D
Flint, MI 48504-6802
Phone (810) 789-5880

National Provider Directory

National Provider Directory
Tax ID family
Dental Dreams PLLC8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2501 W Pierson Rd
Flint, MI 48504
Phone (810) 789-5880

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1314576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314576000000",
    "number": "1083995526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 W PIERSON RD",
            "address_2": "UNITS B-D",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485046802",
            "telephone_number": "810-789-5880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 W PIERSON RD",
            "address_2": "UNITS B-D",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485046802",
            "telephone_number": "810-789-5880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL DREAMS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-29",
        "last_updated": "2011-08-29",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "ENROLLMENT/DEVELOPMENT COORD.",
        "authorized_official_telephone_number": "312-274-4526"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901020515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2011; 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.