NPIMap

Organization Active NPI

Secor Dental Associates

  • Dentist
  • Lambertville, MI
National Provider Identifier
1144291832
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
29010014395 Issued in MI
Legal business name
SECOR DENTAL ASSOCIATES
Practice address
7924 Secor Rd
Lambertville, MI 48144
Phone
(734) 856-3004
Fax
(734) 856-5336
NPI assigned
Jan 30, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Cynthia A Denis, DDSNPI 1326383340
Title
Pres/DDS
Phone
(734) 856-3004

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 29010014395 MI Primary
Dentist 122300000X 2901015738 MI

Addresses

Primary practice location

7924 Secor Rd
Lambertville, MI 48144

Mailing address

PO Box 297
Lambertville, MI 48144
Phone (734) 856-3004

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1138579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144291832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 297",
            "city": "LAMBERTVILLE",
            "state": "MI",
            "postal_code": "48144",
            "telephone_number": "734-856-3004",
            "fax_number": "734-856-5336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7924 SECOR RD",
            "city": "LAMBERTVILLE",
            "state": "MI",
            "postal_code": "48144",
            "telephone_number": "734-856-3004",
            "fax_number": "734-856-5336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECOR DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DENIS",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRES/DDS",
        "authorized_official_telephone_number": "734-856-3004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "29010014395",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901015738",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lambertville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.