Canton Pediatric Dentistry, PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

CANTON PEDIATRIC DENTISTRY, PLLC

Practice address

1657 N Canton Center Rd
Canton, MI 48187-2948

Phone

(734) 335-7270

Fax

(734) 667-4648

NPI assigned

Jul 8, 2016

Organization subpart

No

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

Authorized official

Name

Nesa Malcheff

Title

Business Coordinator

Phone

(734) 335-7270

Specialties & licenses 1

Addresses

Other names 1

• Canton Pediatric Dentistry Other name

Locations

Practitioners 2

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

• Lindsay Frances Fujawa, DDS

  • Dentist
  • Canton, MI
  • NPI 1871911156
  NPD (past)
• Sam Malcheff, DDS

  • Pediatric Dentistry
  • Canton, MI
  • NPI 1124221312
  NPD (past)

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

{
    "created_epoch": "1467936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467936000000",
    "number": "1184076697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1657 N CANTON CENTER RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481872948",
            "telephone_number": "734-335-7270",
            "fax_number": "734-667-4648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1657 N CANTON CENTER RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481872948",
            "telephone_number": "734-335-7270",
            "fax_number": "734-667-4648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANTON PEDIATRIC DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-08",
        "last_updated": "2016-07-08",
        "status": "A",
        "authorized_official_last_name": "MALCHEFF",
        "authorized_official_first_name": "NESA",
        "authorized_official_title_or_position": "BUSINESS COORDINATOR",
        "authorized_official_telephone_number": "734-335-7270"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Canton Pediatric Dentistry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Canton Healthy Smiles PLLC (Canton Healthy Smiles)
• Canton Medical Care Center,P.C. (Same as Above)
• Canton OB-GYN Group P.L.C.
• Canton One Pharmacy Inc (Canton One RX)
• Canton Optique, LLC (Canton Optique)
• Canton Pediatrics
• Canton Pediatrics Clinic PLLC
• Canton Pharmacy Group, Inc (Cherry Oak Pharmacy)
• Canton Plymouth Family Dental PLLC (Canton Plymouth Family Dentistry)
• Canton Podiatry PLLC

• Pediatric Dentistry in Canton, MI
• Providers in Canton, MI by specialty
• Pediatric Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.