NPIMap

Organization Active NPI

Sandusky Dental Care, PLC

  • General Practice Dentistry
  • Sandusky, MI
National Provider Identifier
1093910077
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SANDUSKY DENTAL CARE, PLC
Doing business as
Sandsuky Dental Care
Practice address
30 Dawson St
Box 231
Sandusky, MI 48471-1032
Phone
(810) 648-4740
Fax
(810) 648-4796
NPI assigned
Jun 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Authorized official

Name
Mrs. Sally McConnachie
Title
Office Manager
Phone
(810) 648-4740

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

30 Dawson St
Box 231
Sandusky, MI 48471-1032

Mailing address

30 Dawson St
PO Box 231
Sandusky, MI 48471-1032
Phone (810) 648-4740

Other names 1

  • Sandsuky Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

30 Dawson St
#231
Sandusky, MI 48471
Phone (810) 648-4740

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1093910077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 DAWSON ST",
            "address_2": "PO BOX 231",
            "city": "SANDUSKY",
            "state": "MI",
            "postal_code": "484711032",
            "telephone_number": "810-648-4740",
            "fax_number": "810-648-4796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 DAWSON ST",
            "address_2": "BOX 231",
            "city": "SANDUSKY",
            "state": "MI",
            "postal_code": "484711032",
            "telephone_number": "810-648-4740",
            "fax_number": "810-648-4796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDUSKY DENTAL CARE, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "MCCONNACHIE",
        "authorized_official_first_name": "SALLY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "810-648-4740",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sandsuky Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sandusky, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.