Parkside Endodontics

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

PARKSIDE ENDODONTICS

Practice address

45185 Joy Rd Ste 102
Canton, MI 48187-1729

Phone

(734) 366-3661

NPI assigned

Sep 1, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Andrea Joy Tory-Godlew, DDSNPI 1609111863

Title

Endodontist

Phone

(343) 663-6617

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.

• Andrea Joy Tory-Godlew, D.D.S

  • Dentist
  • Louisville, KY
  • NPI 1609111863
  NPD Authorized official

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

{
    "created_epoch": "1661990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661990400000",
    "number": "1225758881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45185 JOY RD STE 102",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481871729",
            "telephone_number": "734-366-3661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45185 JOY RD STE 102",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481871729",
            "telephone_number": "734-366-3661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKSIDE ENDODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-01",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A",
        "authorized_official_last_name": "TORY-GODLEW",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "ENDODONTIST",
        "authorized_official_telephone_number": "343-663-6617",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hallie Marie Pape
• Ashley Parchment
• Dimple Parikh
• Khushboo Parikh
• Tina Larayne Parkman, M.A.
• Tameika D. Parnell, NCTMB
• Frank Parrinello, D.O.
• Elizabeth Ann Parsons, CTRS
• Marian Partington
• Ajit D. Patel, M.D.

• Dental Clinic/Center in Canton, MI
• Providers in Canton, MI by specialty
• Dental Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; 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.