NPIMap

Organization Active NPI

Dexter Family Dentistry

  • General Practice Dentistry
  • Dexter, MI
National Provider Identifier
1215557889
Registry record updated Apr 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DEXTER FAMILY DENTISTRY
Practice address
7225 Dan Hoey Rd Ste 100
Dexter, MI 48130-9513
Phone
(734) 426-9000
Fax
(734) 426-8845
NPI assigned
Apr 23, 2020
Last updated
Apr 23, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2020

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

Authorized official

Name
Dr. Brent KolbNPI 1073641882
Title
Dentist
Phone
(734) 426-9000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

7225 Dan Hoey Rd Ste 100
Dexter, MI 48130-9513

Mailing address

7225 Dan Hoey Rd Ste 100
Dexter, MI 48130-9513
Phone (734) 426-9000

National Provider Directory

National Provider Directory

Locations

7225 Dan Hoey Rd
Ste 100
Dexter, MI 48130
Phone (734) 426-9000

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1587600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587600000000",
    "number": "1215557889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7225 DAN HOEY RD STE 100",
            "city": "DEXTER",
            "state": "MI",
            "postal_code": "481309513",
            "telephone_number": "734-426-9000",
            "fax_number": "734-426-8845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7225 DAN HOEY RD STE 100",
            "city": "DEXTER",
            "state": "MI",
            "postal_code": "481309513",
            "telephone_number": "734-426-9000",
            "fax_number": "734-426-8845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEXTER FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-23",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A",
        "authorized_official_last_name": "KOLB",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "734-426-9000",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dexter, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.