Organization Active NPI

New Boston Dental Clinic PC

  • Dentist
  • New Boston, MI
National Provider Identifier
1275636342
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901014931 Issued in MI
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, DDSNPI 1831378447
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.

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 2901014931 MI Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.