Organization Active NPI

Dennis C. Owocki DDS,PC

  • General Practice Dentistry
  • Fenton, MI
National Provider Identifier
1265456859
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901008117 Issued in MI
Legal business name
DENNIS C. OWOCKI DDS,PC
Practice address
219 W Roberts St
Fenton, MI 48430-2634
Phone
(810) 629-2121
Fax
(810) 629-8942
NPI assigned
Jul 27, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Dennis C. Owocki, D.D.S.
Title
President
Phone
(810) 629-2121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901008117 MI Primary

Addresses

Primary practice location

219 W Roberts St
Fenton, MI 48430-2634

Mailing address

219 W Roberts St
Fenton, MI 48430-2634
Phone (810) 629-2121

National Provider Directory

National Provider Directory

Locations

219 W Roberts St
Fenton, MI 48430
Phone (810) 629-2121

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265456859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 W ROBERTS ST",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484302634",
            "telephone_number": "810-629-2121",
            "fax_number": "810-629-8942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 W ROBERTS ST",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484302634",
            "telephone_number": "810-629-2121",
            "fax_number": "810-629-8942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS C. OWOCKI DDS,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OWOCKI",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-629-2121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901008117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fenton, MI

Sources for this page

  • 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.