Organization Active NPI

David M. Eberhard DDS PC

  • Dental Clinic/Center
  • Utica, MI
National Provider Identifier
1124772330
Registry record updated Feb 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DAVID M. EBERHARD DDS PC
Practice address
44710 Van Dyke Ave
Utica, MI 48317-5481
Phone
(586) 739-0550
Fax
(586) 739-5226
NPI assigned
Feb 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2022

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

Authorized official

Name
Dr. David M Eberhard, DDSNPI 1538455506
Title
Owner
Phone
(313) 418-0699

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

44710 Van Dyke Ave
Utica, MI 48317-5481

Mailing address

16 Norwich Rd
Pleasant Ridge, MI 48069-1026
Phone (313) 418-0699

National Provider Directory

National Provider Directory

Locations

44710 Van Dyke Ave
Utica, MI 48317
Phone (586) 739-0550

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": "1644192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644192000000",
    "number": "1124772330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 NORWICH RD",
            "city": "PLEASANT RIDGE",
            "state": "MI",
            "postal_code": "480691026",
            "telephone_number": "313-418-0699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44710 VAN DYKE AVE",
            "city": "UTICA",
            "state": "MI",
            "postal_code": "483175481",
            "telephone_number": "586-739-0550",
            "fax_number": "586-739-5226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID M. EBERHARD DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-07",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A",
        "authorized_official_last_name": "EBERHARD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-418-0699",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; 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.