Gateway Dental Care, PLC

Primary specialty

DentistTaxonomy code 122300000X

License

2901017587 Issued in MI

Legal business name

GATEWAY DENTAL CARE, PLC

Practice address

51611 Ten Mile Rd
South Lyon, MI 48178-9720

Phone

(248) 278-0031

NPI assigned

Oct 27, 2016

Organization subpart

Yes

Parent organization

GATEWAY DENTAL CARE I, PLCAs reported in NPPES

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

Authorized official

Name

Dr. Michelle Conforti, DDSNPI 1598739153

Title

Owner

Phone

(248) 446-2700

Specialties & licenses 1

Addresses

Other names 1

• Gateway Dental Care Doing business as

Part of

Michelle R Conforti

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michelle Conforti

  • General Practice Dentistry
  • South Lyon, MI
  • NPI 1598739153
  NPD (past) Authorized official
• Suzanne Amanda Fisher, DDS

  • General Practice Dentistry
  • South Lyon, MI
  • NPI 1972733038
  NPD (past)

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

{
    "created_epoch": "1477526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477526400000",
    "number": "1265984041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25660 PONTIAC TRL",
            "city": "SOUTH LYON",
            "state": "MI",
            "postal_code": "481788046",
            "telephone_number": "248-446-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51611 TEN MILE RD",
            "city": "SOUTH LYON",
            "state": "MI",
            "postal_code": "481789720",
            "telephone_number": "248-278-0031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY DENTAL CARE, PLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GATEWAY DENTAL CARE I, PLC",
        "enumeration_date": "2016-10-27",
        "last_updated": "2016-10-27",
        "status": "A",
        "authorized_official_last_name": "CONFORTI",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-446-2700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901017587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gateway Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle Fras, M.A. CCC-SLP
• Faith Reanne Frontera, LMT
• Debra L Gallop
• Sarah Hope Garbula, PTA
• Vincent Robert Gasparotto, PA-C
• Generations Family Care
• Genesis Psychological Services, P.C.
• Renee E Geran, D.D.S., M.S.
• Laura Lee Gerwatowski, LLPC
• Stephen M Ghezzi, D.D.S.

• Dentist in South Lyon, MI
• Providers in South Lyon, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2016; 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.