Elite Family Dentistry PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ELITE FAMILY DENTISTRY PLLC

Practice address

100 Powell Dr Ste 5
Dundee, MI 48131-8645

Phone

(517) 920-4951

NPI assigned

Dec 5, 2019

Last updated

Dec 5, 2019By 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

Raquel Amador

Title

Office Manager

Phone

(517) 920-4951

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1575504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575504000000",
    "number": "1245877554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 POWELL DR STE 5",
            "city": "DUNDEE",
            "state": "MI",
            "postal_code": "481318645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 POWELL DR STE 5",
            "city": "DUNDEE",
            "state": "MI",
            "postal_code": "481318645",
            "telephone_number": "517-920-4951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE FAMILY DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-05",
        "last_updated": "2019-12-05",
        "status": "A",
        "authorized_official_last_name": "AMADOR",
        "authorized_official_first_name": "RAQUEL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "517-920-4951"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dundee Pediatrics, PLLC
• Dundee Pediatrics, PLLC
• Dundee Pharmacy Shoppe
• Dundee Urgent Care PC
• Dundee Urgent Care PC
• Natalie Emerick, RDN
• Empathic Pathway, LLC
• Family Medical Center of Michigan, Inc (Dundee Community Schools)
• Family Medical Center of Michigan,Inc (Family Medical Center-Dundee High School)
• Chelsea Gautz

• Dental Clinic/Center in Dundee, MI
• Providers in Dundee, 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 Dec 5, 2019; 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.