Organization Active NPI

Saginaw Dental Excellence PLLC

  • General Practice Dentistry
  • Saginaw, MI
National Provider Identifier
1174580351
Registry record updated Sep 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
014534 Issued in MI
Legal business name
SAGINAW DENTAL EXCELLENCE PLLC
Practice address
4291 State St
Saginaw, MI 48603-4051
Phone
(989) 793-0899
NPI assigned
Apr 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2015

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

Authorized official

Name
Dr. Robert Allen Hyland, D.D.S.
Title
Owner/President
Phone
(989) 793-0899

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 014534 MI Primary

Addresses

Primary practice location

4291 State St
Saginaw, MI 48603-4051

Mailing address

4291 State St
Saginaw, MI 48603-4051
Phone (989) 793-0899

National Provider Directory

National Provider Directory

Locations

4291 State St
Saginaw, MI 48603
Phone (989) 793-0899

NPI Registry JSON

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

{
    "created_epoch": "1146355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443398400000",
    "number": "1174580351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4291 STATE ST",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486034051",
            "telephone_number": "989-793-0899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4291 STATE ST",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486034051",
            "telephone_number": "989-793-0899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGINAW DENTAL EXCELLENCE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-30",
        "last_updated": "2015-09-28",
        "status": "A",
        "authorized_official_last_name": "HYLAND",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "989-793-0899",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "014534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2015; 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.