Active NPI
New Boston Dental Clinic PC
- Dentist
- New Boston, MI
National Provider Identifier
1275636342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2901014931
- Legal business name
- NEW BOSTON DENTAL CLINIC PC
- Practice address
- 37228 Huron River Dr
New Boston, MI 48164-0217 - Phone
- (734) 753-4300
- Fax
- (734) 753-5139
- NPI assigned
- Sep 6, 2006
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Dr. Dario Merlos, DDS
- Title
- Owner President
- Phone
- (734) 753-4300
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- New Boston, MI
- NPI 1831378447
National Provider Directory
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2901014931 | MI | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
37228 Huron River Dr
New Boston, MI 48164-0217
Mailing address
37228 Huron River Dr
PO Box 217
New Boston, MI 48164-0217
Phone (734) 753-4300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1275636342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37228 HURON RIVER DR",
"address_2": "PO BOX 217",
"city": "NEW BOSTON",
"state": "MI",
"postal_code": "481640217",
"telephone_number": "734-753-4300",
"fax_number": "734-753-5139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37228 HURON RIVER DR",
"city": "NEW BOSTON",
"state": "MI",
"postal_code": "481640217",
"telephone_number": "734-753-4300",
"fax_number": "734-753-5139"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW BOSTON DENTAL CLINIC PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-06",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MERLOS",
"authorized_official_first_name": "DARIO",
"authorized_official_title_or_position": "OWNER PRESIDENT",
"authorized_official_telephone_number": "734-753-4300",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "MI",
"license": "2901014931",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Boston, 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.