Standish Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

STANDISH DENTAL

Doing business as

Lake Huron Dental

Practice address

117 N Forest St
Standish, MI 48658-2506

Phone

(989) 846-9545

Fax

(989) 846-2010

NPI assigned

Feb 15, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Kim Ford

Title

Office Manager

Phone

(989) 846-9545

Specialties & licenses 1

Addresses

Other names 1

• Lake Huron Dental Doing business as

Practitioners 1

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

• Sydney L Learman, DMD

  • Dentist
  • Standish, MI
  • NPI 1689022410
  NPD

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

{
    "created_epoch": "1676419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676419200000",
    "number": "1104523588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130",
            "city": "STANDISH",
            "state": "MI",
            "postal_code": "48658",
            "telephone_number": "989-846-9545",
            "fax_number": "989-846-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 N FOREST ST",
            "city": "STANDISH",
            "state": "MI",
            "postal_code": "486582506",
            "telephone_number": "989-846-9545",
            "fax_number": "989-846-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANDISH DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-15",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "989-846-9545",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Huron Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shopko Stores Operating Co LLC (Shopko Pharmacy 2646)
• Rasheed Siddiqui, M.D.
• Andrew Allan Slocum, MSN, FNP-BC
• James Spegel
• St. Mary's of Michigan
• Standish Family Dental Center PLLC
• Standish Rehabilitation Center Inc
• Standish Rehabilitation Center Inc
• Sterling Area Health Center (Sterling Area Health Center Standish- Sterling Community School SBSS)
• Sterling Area Health Center

• Dental Clinic/Center in Standish, MI
• Providers in Standish, MI by specialty
• Dental Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; 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.