Alexander a. Dutko, D.D.S., P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901015160 Issued in MI

Legal business name

ALEXANDER A. DUTKO, D.D.S., P.C.

Practice address

29439 Ryan Rd
Warren, MI 48092-2203

Phone

(586) 558-9666

Fax

(586) 558-8121

NPI assigned

Dec 15, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Alexander Askold Dutko, D.D.S.NPI 1073644225

Title

President

Phone

(586) 558-9666

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Alexander Askold Dutko, D.D.S.

  • General Practice Dentistry
  • Warren, MI
  • NPI 1073644225
  NPD (past) Authorized official

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

{
    "created_epoch": "1323907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323907200000",
    "number": "1184993487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29439 RYAN RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480922203",
            "telephone_number": "586-558-9666",
            "fax_number": "586-558-8121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29439 RYAN RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480922203",
            "telephone_number": "586-558-9666",
            "fax_number": "586-558-8121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDER A. DUTKO, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-15",
        "last_updated": "2011-12-15",
        "status": "A",
        "authorized_official_last_name": "DUTKO",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "ASKOLD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-558-9666",
        "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": "2901015160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stetson Albertson, DO
• Katherine Albishara, MD
• Cham Alden, DPM
• Alert Rental, Inc.
• Max Aleshire
• Amuche Kizzy Alexander, MD
• Donsia Alexander
• Roger S Alexander, DC
• Evgeny Andrew Alexev, D.V.M.
• Brittany Alfred

• General Practice Dentistry in Warren, MI
• Providers in Warren, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2011; 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.