Organization Active NPI

Tooth Plymouth PLLC

  • Dentist
  • Plymouth, MI
National Provider Identifier
1275389066
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
TOOTH PLYMOUTH PLLC
Practice address
584 S Main St
Plymouth, MI 48170-1709
Phone
(734) 453-5588
NPI assigned
Apr 24, 2024
Last updated
Apr 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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

Authorized official

Name
Tiffany Megan Danyal, DDS
Title
Owner
Phone
(248) 707-5025

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

584 S Main St
Plymouth, MI 48170-1709

Mailing address

584 S Main St
Plymouth, MI 48170-1709
Phone (734) 453-5588

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1713916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713916800000",
    "number": "1275389066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "584 S MAIN ST",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701709",
            "telephone_number": "734-453-5588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "584 S MAIN ST",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701709",
            "telephone_number": "734-453-5588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOOTH PLYMOUTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-24",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A",
        "authorized_official_last_name": "DANYAL",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "MEGAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-707-5025",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; 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.