Edward Patrick Troshak, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901011640 Issued in MI

Practice address

850 E Saginaw Hwy
Suite E
Grand Ledge, MI 48837-8410

Phone

(517) 627-3271

Fax

(517) 627-1775

NPI assigned

Jul 9, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Edward Troshak DDS, PC

  • Dental Clinic/Center
  • Grand Ledge, MI
  • NPI 1174798664
  NPD (past) Authorized official

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245263375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 177",
            "city": "GRAND LEDGE",
            "state": "MI",
            "postal_code": "488370177",
            "telephone_number": "517-627-3271",
            "fax_number": "517-627-1775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 E SAGINAW HWY",
            "address_2": "SUITE E",
            "city": "GRAND LEDGE",
            "state": "MI",
            "postal_code": "488378410",
            "telephone_number": "517-627-3271",
            "fax_number": "517-627-1775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROSHAK",
        "first_name": "EDWARD",
        "middle_name": "PATRICK",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901011640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4044694",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian David Thomas, MA, LPC, NCC
• Kelsie Lynne Thomas, LMSW
• Steven H Tickle, PHYSICAL THER ASST
• Catherine Mary Todd, LLMSW
• Patrick Anthony Townshend
• Christy Lee Tunney, FNP
• Joseph Paul Van Ark, MD
• Taylor Rene Van Horn, D.C.
• Janet Sterk Van Wieren X
• Dawne Marie Velianoff, LMSW

• General Practice Dentistry in Grand Ledge, MI
• Providers in Grand Ledge, 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 Jul 8, 2007; 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.