Michelle Marie David

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

2902015904 Issued in MI

Practice address

8326 N Saginaw Rd
Mount Morris, MI 48458-1648

Phone

(810) 687-5040

Fax

(810) 687-5130

NPI assigned

Feb 5, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Michelle Marie Diener Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ao of Mt Morris PLLC

  • General Practice Dentistry
  • Mount Morris, MI
  • NPI 1043855943
  NPD (past)
• Trinity Family Dental PLLC

  • Dental Clinic/Center
  • Mount Morris, MI
  • NPI 1841957107
  NPD (past)

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

{
    "created_epoch": "1517788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517788800000",
    "number": "1205335353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8326 N SAGINAW RD",
            "city": "MOUNT MORRIS",
            "state": "MI",
            "postal_code": "484581648",
            "telephone_number": "810-687-5040",
            "fax_number": "810-687-5130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8326 N SAGINAW RD",
            "city": "MOUNT MORRIS",
            "state": "MI",
            "postal_code": "484581648",
            "telephone_number": "810-687-5040",
            "fax_number": "810-687-5130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVID",
        "first_name": "MICHELLE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-05",
        "last_updated": "2018-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MI",
            "license": "2902015904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "DIENER",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amy Converse
• Counselor Bob Inc
• Counselor Bob Inc
• Alexis Cummings
• Antwanette Cureton
• Deluxe Dental Associates #7 Mount Morris PLLC
• Knari Demps
• Tyeasha Dillard
• Allan M Ebert, DO
• Jordan Eldridge

• Dental Hygienist in Mount Morris, MI
• Providers in Mount Morris, MI by specialty
• Dental Hygienist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2018; 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.