Aspen Dental of Michigan PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901019539 Issued in MI

Legal business name

ASPEN DENTAL OF MICHIGAN PC

Practice address

4391 Canal Ave SW
Grandville, MI 49418-2680

Phone

(616) 530-3900

NPI assigned

Oct 31, 2007

Last updated

Oct 31, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Isam HamatiNPI 1679656730

Title

Owner

Phone

(315) 454-6000

Specialties & licenses 1

Addresses

Locations

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.

• Isam Hamati, DDS

  • Dentist
  • Cicero, NY
  • NPI 1679656730
  Authorized official Same address or phone

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

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193788800000",
    "number": "1285813832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 SANDERS CREEK PKWY",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130571307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4391 CANAL AVE SW",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494182680",
            "telephone_number": "616-530-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPEN DENTAL OF MICHIGAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-31",
        "last_updated": "2007-10-31",
        "status": "A",
        "authorized_official_last_name": "HAMATI",
        "authorized_official_first_name": "ISAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-454-6000"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901019539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Dawn Appleton, MA, LPC
• Armbrecht & Wierenga Orthodontics
• Madalyn Audrey Armstrong
• Brooklyn Arrigo, BEHAVIOR TECHNICIAN
• Marissa Askarisedeh
• Athletico LTD (Athletico Physical Therapy)
• Whitney Atkinson
• Ann M Auburn, D.O.
• Michelle Katherine Aue, PA-C
• Kimalyn Sue Averill, RPH

• General Practice Dentistry in Grandville, MI
• Providers in Grandville, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; 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.