Detalmax PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901011820 Issued in MI

Legal business name

DETALMAX PC

Practice address

6655 Alpine Ave NW
Suite 1
Comstock Park, MI 49321-8000

Phone

(616) 784-8950

Fax

(616) 784-9553

NPI assigned

May 16, 2012

Last updated

May 16, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gregory P Houghteling, D.D.S.NPI 1326052929

Title

Ceo

Phone

(616) 784-8950

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, and the practitioner matching its NPPES authorized official.

• Gregory P. Houghteling, D.D.S.

  • General Practice Dentistry
  • Comstock Park, MI
  • NPI 1326052929
  Authorized official Same address or phone

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

{
    "created_epoch": "1337126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337126400000",
    "number": "1194084780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6655 ALPINE AVE NW",
            "address_2": "SUITE 1",
            "city": "COMSTOCK PARK",
            "state": "MI",
            "postal_code": "493218000",
            "telephone_number": "616-784-8950",
            "fax_number": "616-784-9553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6655 ALPINE AVE NW",
            "address_2": "SUITE 1",
            "city": "COMSTOCK PARK",
            "state": "MI",
            "postal_code": "493218000",
            "telephone_number": "616-784-8950",
            "fax_number": "616-784-9553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DETALMAX PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-16",
        "last_updated": "2012-05-16",
        "status": "A",
        "authorized_official_last_name": "HOUGHTELING",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "616-784-8950",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901011820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chiropractic Wellness Center PC
• Samuel Corbin
• Ana Cousineau
• David J Presley, DO PC
• Ashley Rose Dearmond, CPHT
• Stephanie Sue Donley, LMSW
• Zachary Eddy, DPT
• Laura Esese
• Eyemart Express LLC
• Scott Patrick Flynn

• General Practice Dentistry in Comstock Park, MI
• Providers in Comstock Park, 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 May 16, 2012; 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.