Leticia Dantes, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301033874 Issued in MI

Practice address

845 Michigan Ave
Marysville, MI 48040-1404

Phone

(810) 364-5050

Fax

(810) 364-5688

NPI assigned

Oct 13, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1223856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309219200000",
    "number": "1265684047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1239",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480991239",
            "telephone_number": "248-824-6622",
            "fax_number": "248-324-1477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 MICHIGAN AVE",
            "city": "MARYSVILLE",
            "state": "MI",
            "postal_code": "480401404",
            "telephone_number": "810-364-5050",
            "fax_number": "810-364-5688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANTES",
        "first_name": "LETICIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-13",
        "last_updated": "2011-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301033874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Curtiss
• Robert Douglas Cushman, DDS MS
• Matthew Dado, PHARMACY STUDENT
• Andrea L Dalman, LMSW
• Jocelyn Rae Dangler
• Linda M Darrah
• Cassidy Daugherty
• Anita M Davis
• Tamasha Lashea Davis
• Breanna Day

• Family Medicine Physician in Marysville, MI
• Providers in Marysville, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2011; 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.