Michigan Dental PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MICHIGAN DENTAL PC

Practice address

4626 W Walton Blvd
Waterford, MI 48329-3535

Phone

(248) 674-0384

Fax

(248) 674-1483

NPI assigned

Oct 4, 2018

Last updated

Oct 4, 2018By 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

Amanda Marie Sheehan, DDSNPI 1386938561

Title

Owner

Phone

(248) 674-0384

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Amanda Marie Sheehan, DDS

  • Dentist
  • Waterford, MI
  • NPI 1386938561
  Authorized official Same address or phone
• Russell Clifford Doeringer, DMD PC

  • General Practice Dentistry
  • Waterford, MI
  • NPI 1891852083
  NPD (past)

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

{
    "created_epoch": "1538611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538611200000",
    "number": "1215402383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4626 W WALTON BLVD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483293535",
            "telephone_number": "248-674-0384",
            "fax_number": "248-674-1483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4626 W WALTON BLVD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483293535",
            "telephone_number": "248-674-0384",
            "fax_number": "248-674-1483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-04",
        "last_updated": "2018-10-04",
        "status": "A",
        "authorized_official_last_name": "SHEEHAN",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-674-0384",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Michael
• Michigan Associates in Podiatric Medicine and Surgery PC
• Michigan Chiropractic Specialists of Waterford, P.C.
• Michigan Community Pharmacy LLC (Michigan Community Pharmacy)
• Michigan Counseling Collaborative
• Michigan Emdr Therapy, PLLC
• Michigan Emdr Therapy, PLLC
• Michigan Emdr Therapy, PLLC
• Michigan Internal Medicine Associates,P.C.
• Michigan Med Home Health Supplies LLC

• General Practice Dentistry in Waterford, MI
• Providers in Waterford, 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 Oct 4, 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.