NPIMap

Organization Active NPI

South Huron Cosmetic & Restorative Dentistry PC

  • Dental Clinic/Center
  • Ypsilanti, MI
National Provider Identifier
1275711376
Registry record updated Feb 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
11612 Issued in MI
Legal business name
SOUTH HURON COSMETIC & RESTORATIVE DENTISTRY PC
Practice address
1637 S Huron St
Ypsilanti, MI 48197-9701
Phone
(313) 737-0057
NPI assigned
Jan 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2008

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

Authorized official

Name
Dr. Dennis L Perkins Sr., DDSNPI 1063567733
Title
Dentist President
Phone
(734) 482-1300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DenturistGroup: 193400000X SINGLE SPECIALTY GROUP 122400000X
Dental Clinic/Center 261QD0000X 11612 MI Primary

Addresses

Primary practice location

1637 S Huron St
Ypsilanti, MI 48197-9701

Mailing address

1637 S Huron St
Ypsilanti, MI 48197-9701
Phone (734) 482-1300

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203552000000",
    "number": "1275711376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1637 S HURON ST",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481979701",
            "telephone_number": "734-482-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1637 S HURON ST",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481979701",
            "telephone_number": "313-737-0057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH HURON COSMETIC & RESTORATIVE DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-31",
        "last_updated": "2008-02-21",
        "status": "A",
        "authorized_official_last_name": "PERKINS",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DENTIST PRESIDENT",
        "authorized_official_telephone_number": "734-482-1300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Denturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MI",
            "license": "11612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ypsilanti, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; 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.