Organization Active NPI

Deerfield Family Dentistry

  • General Practice Dentistry
  • North Branch, MI
National Provider Identifier
1124789334
Registry record updated Jan 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DEERFIELD FAMILY DENTISTRY
Practice address
5830 N Lapeer Rd Ste a
North Branch, MI 48461-9660
Phone
(810) 793-7800
NPI assigned
Jan 10, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2022

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

Authorized official

Name
Dr. Ola Sitto, DDS PCNPI 1396850392
Title
Owner
Phone
(810) 793-7800

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

5830 N Lapeer Rd Ste a
North Branch, MI 48461-9660

Mailing address

5830 N Lapeer Rd Ste a
North Branch, MI 48461-9660
Phone (810) 793-7800

Other names 1

  • Deerfield Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

5830 N Lapeer Rd
Ste A
North Branch, MI 48461
Phone (810) 793-7800

Practitioners & affiliated clinicians

Practitioners 1

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": "1641772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642723200000",
    "number": "1124789334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5830 N LAPEER RD STE A",
            "city": "NORTH BRANCH",
            "state": "MI",
            "postal_code": "484619660",
            "telephone_number": "810-793-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5830 N LAPEER RD STE A",
            "city": "NORTH BRANCH",
            "state": "MI",
            "postal_code": "484619660",
            "telephone_number": "810-793-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEERFIELD FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-10",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A",
        "authorized_official_last_name": "SITTO",
        "authorized_official_first_name": "OLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-793-7800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS PC"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Deerfield Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Branch, MI

Sources for this page

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