Organization Active NPI

Tiffany Danyal Metamora PLLC

Doing business as Metamora Family Dental

  • Dental Clinic/Center
  • Metamora, MI
National Provider Identifier
1093323404
Registry record updated Jul 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
TIFFANY DANYAL METAMORA PLLC
Doing business as
Metamora Family Dental
Practice address
3782 S Lapeer Rd
Metamora, MI 48455-8752
Phone
(810) 678-2224
NPI assigned
Jul 22, 2020
Last updated
Jul 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2020

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

Authorized official

Name
Megan Drummond
Title
Management
Phone
(386) 283-7165

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

3782 S Lapeer Rd
Metamora, MI 48455-8752

Mailing address

3782 S Lapeer Rd
Metamora, MI 48455-8752
Phone (810) 678-2224

Other names 1

  • Metamora Family Dental Doing business as

National Provider Directory

National Provider Directory

Locations

3782 S Lapeer Rd
Metamora, MI 48455
Phone (810) 678-2224

Practitioners & affiliated clinicians

Practitioners 1

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": "1595376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595376000000",
    "number": "1093323404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3782 S LAPEER RD",
            "city": "METAMORA",
            "state": "MI",
            "postal_code": "484558752",
            "telephone_number": "810-678-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3782 S LAPEER RD",
            "city": "METAMORA",
            "state": "MI",
            "postal_code": "484558752",
            "telephone_number": "810-678-2224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIFFANY DANYAL METAMORA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-22",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A",
        "authorized_official_last_name": "DRUMMOND",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "MANAGEMENT",
        "authorized_official_telephone_number": "386-283-7165"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metamora Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Metamora, MI

Sources for this page

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