Michigan Mainstreet Dentistry PLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MICHIGAN MAINSTREET DENTISTRY PLC

Practice address

22 S Main St
Clarkston, MI 48346-1524

Phone

(248) 625-8494

NPI assigned

Aug 5, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Glenn Curtis

Title

Owner

Phone

(248) 625-8494

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Walter Stevenson, D.D.S.

  • Dentist
  • Clarkston, MI
  • NPI 1689788515
  NPD (past)

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

{
    "created_epoch": "1470355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470355200000",
    "number": "1144774274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 S MAIN ST",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483461524",
            "telephone_number": "248-625-8494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 S MAIN ST",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483461524",
            "telephone_number": "248-625-8494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN MAINSTREET DENTISTRY PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-05",
        "last_updated": "2016-08-05",
        "status": "A",
        "authorized_official_last_name": "CURTIS",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-625-8494",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Clarkston, MI
• Providers in Clarkston, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2016; 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.