Michigan Dentures

Primary specialty

DenturistTaxonomy code 122400000X

Legal business name

MICHIGAN DENTURES

Practice address

3684 W 11 Mile Rd
Berkley, MI 48072-1002

Phone

(248) 398-1900

Fax

(248) 394-1919

NPI assigned

Feb 20, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Everett Van Den Eeden

Title

Owner / General Partner

Phone

(248) 398-1900

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1298160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298160000000",
    "number": "1134426513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3684 W 11 MILE RD",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480721002",
            "telephone_number": "248-398-1900",
            "fax_number": "248-394-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3684 W 11 MILE RD",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480721002",
            "telephone_number": "248-398-1900",
            "fax_number": "248-394-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN DENTURES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-20",
        "last_updated": "2011-02-20",
        "status": "A",
        "authorized_official_last_name": "VAN DEN EEDEN",
        "authorized_official_first_name": "EVERETT",
        "authorized_official_title_or_position": "OWNER / GENERAL PARTNER",
        "authorized_official_telephone_number": "248-398-1900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "122400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Denturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey A Meer, M.D.
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• Breanne Nicole Meyer, RN
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• Michigan Kidney Care PC
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• Michigan Physicians Group, PC
• Michigan Radiology Institute PLLC

• Denturist in Berkley, MI
• Providers in Berkley, MI by specialty
• Denturist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2011; 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.