Organization Active NPI

Ae Dental PLLC

  • Dental Clinic/Center
  • Davison, MI
National Provider Identifier
1134851504
Registry record updated Jun 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2022

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)CodeLicenseStatePrimary
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 Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.