Active NPI
North Oakland Endodontics PC
- Endodontics
- Clarkston, MI
National Provider Identifier
1164537890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 2901017939
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 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 DirectoryLocations
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.
-
- Endodontics
- Flint, MI
- NPI 1255432613
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.