Organization Active NPI

North Oakland Endodontics PC

  • Endodontics
  • Clarkston, MI
National Provider Identifier
1164537890
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
2901017939 Issued in MI
Legal business name
NORTH OAKLAND ENDODONTICS PC
Practice address
6803 Dixie Highway Suite 3
Clarkston, MI 48346-5101
Phone
(248) 625-8070
Fax
(248) 625-8087
NPI assigned
Aug 21, 2006
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. Angla Suzanne Dekock, DDS
Title
Owner/Presidnet
Phone
(248) 625-8070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 2901017939 MI Primary

Addresses

Primary practice location

6803 Dixie Highway Suite 3
Clarkston, MI 48346-5101

Mailing address

6803 Dixie Highway Suite 3
Clarkston, MI 48346-5101
Phone (248) 625-8070

National Provider Directory

National Provider Directory

Locations

6803 Dixie Hwy
Ste 3
Clarkston, MI 48346
Phone (248) 625-8070

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164537890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6803 DIXIE HIGHWAY SUITE 3",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483465101",
            "telephone_number": "248-625-8070",
            "fax_number": "248-625-8087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6803 DIXIE HIGHWAY SUITE 3",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483465101",
            "telephone_number": "248-625-8070",
            "fax_number": "248-625-8087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH OAKLAND ENDODONTICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEKOCK",
        "authorized_official_first_name": "ANGLA",
        "authorized_official_middle_name": "SUZANNE",
        "authorized_official_title_or_position": "OWNER/PRESIDNET",
        "authorized_official_telephone_number": "248-625-8070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "MI",
            "license": "2901017939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarkston, 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.