Skelly & Zager DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SKELLY & ZAGER DDS PC

Practice address

32788 Five Mile Road
Livonia, MI 48154

Phone

(734) 425-1610

Fax

(734) 425-1335

NPI assigned

Aug 25, 2006

Organization subpart

No

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

Authorized official

Name

Bernard S Zager, DDS

Title

Vice President

Phone

(734) 425-1610

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Skelly Zager DDS PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Skelly & Zager DDS PC

  • General Practice Dentistry
  • Dearborn, MI
  • NPI 1679681126
  NPD tax ID

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255449799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32788 FIVE MILE ROAD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "48154",
            "telephone_number": "734-425-1610",
            "fax_number": "734-425-1335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32788 FIVE MILE ROAD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "48154",
            "telephone_number": "734-425-1610",
            "fax_number": "734-425-1335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKELLY & ZAGER DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZAGER",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "734-425-1610",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "799851",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "J800169",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia L. Sitchon, D.D.S.
• Sivakumar Medical Group
• Veerasamy Sivakumar, RPT
• John Frederick Sivertson, DDS MS
• Hussein Skayki
• Skin Care Physicians PC
• Mitchell Sklar, DPM
• Nicole Slappo
• Robert Slaughter
• Steve Slayton

• General Practice Dentistry in Livonia, MI
• Providers in Livonia, 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 Aug 22, 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.