Southgate Ardent PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SOUTHGATE ARDENT PLLC

Doing business as

Northline Dental

Practice address

13703 Northline Rd
Southgate, MI 48195-1866

Phone

(734) 284-8088

Fax

(734) 284-0522

NPI assigned

Apr 5, 2022

Last updated

Apr 5, 2022By 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

Ms. Laura Burkeen

Title

Manager

Phone

(734) 284-8088

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Northline Dental Doing business as

Electronic endpoints 1

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.

• Amanpreet Singh, DDS

  • Dentist
  • Plymouth, MI
  • NPI 1447822572
  NPD

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649116800000",
    "number": "1225779325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13703 NORTHLINE RD",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481951866",
            "telephone_number": "734-284-8088",
            "fax_number": "734-284-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13703 NORTHLINE RD",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481951866",
            "telephone_number": "734-284-8088",
            "fax_number": "734-284-0522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHGATE ARDENT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-04-05",
        "certification_date": "2022-03-23",
        "status": "A",
        "authorized_official_last_name": "BURKEEN",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "734-284-8088",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1447822572",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1053768432",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "northlinedental@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Northlinedental@gmail.com",
            "address_1": "13703 Northline Rd",
            "city": "Southgate",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481951866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Northline Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carla Soule-Pearson, PHARMD
• Sound Hearing Inc. (Beltone)
• Angela South
• Southfort Family Clinic PC
• Southgate Allied Anesthesia PLLC
• Southgate CT, PLC
• Southgate Ear Nose & Throat Center PLLC
• Southgate Ear Nose and Throat PLLC
• Southgate Family Dental
• Southgate Foot and Ankle Center PLLC

• Dental Clinic/Center in Southgate, MI
• Providers in Southgate, 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 Apr 5, 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.