Active NPI
Ae Dental PLLC
- Dental Clinic/Center
- Davison, MI
National Provider Identifier
1134851504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- AE DENTAL PLLC
- Practice address
- 8379 Davison Rd Ste a
Davison, MI 48423-2089 - Phone
- (810) 653-7120
- NPI assigned
- Jun 25, 2022
- Last updated
- Jun 25, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Rachel Knorr Torres, DDS
- Title
- Sole Member
- Phone
- (586) 242-5872
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
8379 Davison Rd Ste a
Davison, MI 48423-2089
Mailing address
35888 Evanston LN
New Baltimore, MI 48047-6515
Phone (586) 242-5872
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dentist
- Port Huron, MI
- NPI 1952781874
-
- Public Health Dentistry
- Davison, MI
- NPI 1164565065
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656115200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1656115200000",
"number": "1134851504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35888 EVANSTON LN",
"city": "NEW BALTIMORE",
"state": "MI",
"postal_code": "480476515",
"telephone_number": "586-242-5872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8379 DAVISON RD STE A",
"city": "DAVISON",
"state": "MI",
"postal_code": "484232089",
"telephone_number": "810-653-7120"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AE DENTAL PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-25",
"last_updated": "2022-06-25",
"certification_date": "2022-06-25",
"status": "A",
"authorized_official_last_name": "TORRES",
"authorized_official_first_name": "RACHEL",
"authorized_official_middle_name": "KNORR",
"authorized_official_title_or_position": "SOLE MEMBER",
"authorized_official_telephone_number": "586-242-5872",
"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 Davison, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.