Negaunee Family Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

NEGAUNEE FAMILY DENTISTRY

Practice address

100 Croix St
Negaunee, MI 49866-1104

Phone

(906) 475-9958

NPI assigned

Feb 28, 2021

Last updated

Feb 28, 2021By 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

Dr. Andrew Ekdahl, DDS

Title

Owner

Phone

(906) 475-9958

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.

• Terry L Gould, DDS

  • General Practice Dentistry
  • Negaunee, MI
  • NPI 1114195369
  NPD (past)

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

{
    "created_epoch": "1614470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614470400000",
    "number": "1295329431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CROIX ST",
            "city": "NEGAUNEE",
            "state": "MI",
            "postal_code": "498661104",
            "telephone_number": "906-475-9958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CROIX ST",
            "city": "NEGAUNEE",
            "state": "MI",
            "postal_code": "498661104",
            "telephone_number": "906-475-9958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEGAUNEE FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-28",
        "last_updated": "2021-02-28",
        "certification_date": "2021-02-28",
        "status": "A",
        "authorized_official_last_name": "EKDAHL",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "906-475-9958",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Negaunee, MI
• Providers in Negaunee, 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 Feb 28, 2021; 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.