Heritage Dental Center PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

HERITAGE DENTAL CENTER PC

Practice address

5263 Richfield Rd
Flint, MI 48506-2110

Phone

(810) 726-9746

NPI assigned

Apr 23, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Sujay K Rangaswamy, DDS

Title

Owner

Phone

(734) 996-9966

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1335139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335139200000",
    "number": "1124385596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5263 RICHFIELD RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485062110",
            "telephone_number": "810-726-9746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5263 RICHFIELD RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485062110",
            "telephone_number": "810-726-9746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE DENTAL CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-23",
        "last_updated": "2012-04-23",
        "status": "A",
        "authorized_official_last_name": "RANGASWAMY",
        "authorized_official_first_name": "SUJAY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-996-9966",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Hepburn
• Janis Herberger
• Herbert F. Lee'S House of Hospitality, LLC
• Georgi Hering
• Heritage Comfort Dental
• Haley Paige Herman
• Kelly Elizabeth Hermans, CRNA
• Jennifer Lynn Heron, LLMSW
• Sarah Annette Herriman, MA, LLPC, NCC
• Dylan Herron

• General Practice Dentistry in Flint, MI
• Providers in Flint, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; 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.