Organization Active NPI

Oxford Lakes Dental Care

  • General Practice Dentistry
  • Oxford, MI
National Provider Identifier
1184761322
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14803 Issued in MI
Legal business name
OXFORD LAKES DENTAL CARE
Practice address
91 S Washington St
Oxford, MI 48371-4979
Phone
(248) 628-2540
Fax
(248) 628-1462
NPI assigned
Jan 30, 2007
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
Danuta SahutskeNPI 1235338070
Title
D.D.S
Phone
(248) 628-2540

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 14803 MI Primary

Addresses

Primary practice location

91 S Washington St
Oxford, MI 48371-4979

Mailing address

91 S Washington St
Oxford, MI 48371-4979
Phone (248) 628-2540

National Provider Directory

National Provider Directory

Locations

91 S Washington St
Oxford, MI 48371
Phone (248) 628-2540

Practitioners & affiliated clinicians

Practitioners 2

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": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184761322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 S WASHINGTON ST",
            "city": "OXFORD",
            "state": "MI",
            "postal_code": "483714979",
            "telephone_number": "248-628-2540",
            "fax_number": "248-628-1462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 S WASHINGTON ST",
            "city": "OXFORD",
            "state": "MI",
            "postal_code": "483714979",
            "telephone_number": "248-628-2540",
            "fax_number": "248-628-1462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OXFORD LAKES DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAHUTSKE",
        "authorized_official_first_name": "DANUTA",
        "authorized_official_title_or_position": "D.D.S",
        "authorized_official_telephone_number": "248-628-2540"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "14803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, 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.