Organization Active NPI

H2G Dental PLLC

  • General Practice Dentistry
  • Canton, MI
National Provider Identifier
1124807227
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
H2G DENTAL PLLC
Practice address
50530 Cherry Hill Rd
Canton, MI 48187-4604
Phone
(734) 495-3300
NPI assigned
Sep 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Authorized official

Name
Kyle Burks
Title
Manager, Insurance Operations
Phone
(989) 327-7095

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

50530 Cherry Hill Rd
Canton, MI 48187-4604

Mailing address

PO Box 773037
Detroit, MI 48277-3037

Other names 1

  • The Village Dentist Doing business as

National Provider Directory

National Provider Directory
Tax ID family
H2G Dental PLLC11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

50530 Cherry Hill Rd
Canton, MI 48187
Phone (734) 454-9270

Practitioners & affiliated clinicians

Practitioners 2

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": "1695772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695772800000",
    "number": "1124807227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 773037",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482773037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50530 CHERRY HILL RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481874604",
            "telephone_number": "734-495-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H2G DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-27",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-22",
        "status": "A",
        "authorized_official_last_name": "BURKS",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "MANAGER, INSURANCE OPERATIONS",
        "authorized_official_telephone_number": "989-327-7095"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Village Dentist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.