Organization Active NPI

Erin Sundt DDS PLLC

Doing business as Waterford Dental Arts

  • General Practice Dentistry
  • Waterford Township, MI
National Provider Identifier
1164100152
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ERIN SUNDT DDS PLLC
Doing business as
Waterford Dental Arts
Practice address
3485 Airport Rd
Waterford Township, MI 48329-3017
Phone
(248) 623-7722
NPI assigned
Jul 10, 2023
Last updated
Jul 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Authorized official

Name
Erin Sundt, DDSNPI 1487805073
Title
Owner
Phone
(248) 623-7722

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
General Practice Dentistry 1223G0001X NU Primary
Customized Equipment (DME) 332BC3200X NU

Addresses

Primary practice location

3485 Airport Rd
Waterford Township, MI 48329-3017

Mailing address

3485 Airport Rd
Waterford Township, MI 48329-3017
Phone (248) 623-7722

Other names 1

  • Waterford Dental Arts Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250521000061 MI DME Supplier - Oral Surgery - Dentist 5991223166 Practice locations: Waterford, MI

National Provider Directory

National Provider Directory

Locations

3485 Airport Rd
Waterford Township, MI 48329
Phone (248) 623-7722

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": "1688947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688947200000",
    "number": "1164100152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3485 AIRPORT RD",
            "city": "WATERFORD TOWNSHIP",
            "state": "MI",
            "postal_code": "483293017",
            "telephone_number": "248-623-7722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3485 AIRPORT RD",
            "city": "WATERFORD TOWNSHIP",
            "state": "MI",
            "postal_code": "483293017",
            "telephone_number": "248-623-7722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIN SUNDT DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A",
        "authorized_official_last_name": "SUNDT",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-623-7722",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Waterford Dental Arts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waterford Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.