Organization Active NPI

Suburban Family Dental

  • Dental Clinic/Center
  • Highland, MI
National Provider Identifier
1114366234
Registry record updated Jun 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
2901014830 Issued in MI
Legal business name
SUBURBAN FAMILY DENTAL
Practice address
2725 S Milford Rd
Highland, MI 48357
Phone
(248) 685-7273
Fax
(248) 685-1394
NPI assigned
Jun 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2013

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

Authorized official

Name
Dr. Louis Leonor, DDS
Title
Owner
Phone
(248) 685-7273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 2901014830 MI Primary

Addresses

Primary practice location

2725 S Milford Rd
Highland, MI 48357

Mailing address

2725 S Milford Rd
Highland, MI 48357
Phone (248) 685-7273

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1371772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371772800000",
    "number": "1114366234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2725 S MILFORD RD",
            "city": "HIGHLAND",
            "state": "MI",
            "postal_code": "48357",
            "telephone_number": "248-685-7273",
            "fax_number": "248-685-1394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2725 S MILFORD RD",
            "city": "HIGHLAND",
            "state": "MI",
            "postal_code": "48357",
            "telephone_number": "248-685-7273",
            "fax_number": "248-685-1394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-21",
        "last_updated": "2013-06-21",
        "status": "A",
        "authorized_official_last_name": "LEONOR",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-685-7273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MI",
            "license": "2901014830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2013; 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.