Total Dental Fitness

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

14767 Issued in MI

Legal business name

TOTAL DENTAL FITNESS

Practice address

50 W Big Beaver Rd
Ste 120
Bloomfield Hills, MI 48304-3910

Phone

(248) 642-5020

NPI assigned

Dec 4, 2013

Last updated

Dec 4, 2013By 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

Glen David Maylath, D.D.S.NPI 1780769570

Title

President

Phone

(248) 642-5020

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Glen David Maylath, D.D.S.

  • General Practice Dentistry
  • Bloomfield Hills, MI
  • NPI 1780769570
  Authorized official Same address or phone

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

{
    "created_epoch": "1386115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386115200000",
    "number": "1265863021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 W BIG BEAVER RD",
            "address_2": "STE 120",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483043910",
            "telephone_number": "248-642-5020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 W BIG BEAVER RD",
            "address_2": "STE 120",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483043910",
            "telephone_number": "248-642-5020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL DENTAL FITNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-04",
        "last_updated": "2013-12-04",
        "status": "A",
        "authorized_official_last_name": "MAYLATH",
        "authorized_official_first_name": "GLEN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-642-5020",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "14767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Farouk S Tootla, M.D.
• Top Rate Home Care Agency LLC
• Top Tier Wellness and Beauty LLC (Top Tier Wellness and Beauty Medical Wigs)
• Keri Berge Topouzian, D.O.
• Blerta Toshi, PHARMD
• Total Temple LLC
• Tovly LLC
• Township of Bloomfield
• Amanda Train
• Richard Bernard Traitel, PH.D.

• General Practice Dentistry in Bloomfield Hills, MI
• Providers in Bloomfield Hills, 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 Dec 4, 2013; 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.