Gentle Dental Washington Blvd PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

GENTLE DENTAL WASHINGTON BLVD PLLC

Practice address

1203 Washington Blvd
Detroit, MI 48226-1807

Phone

(313) 963-3336

NPI assigned

Mar 20, 2007

Organization subpart

No

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

Authorized official

Name

Mike Cole

Title

Insurance Director

Phone

(727) 726-1611

Specialties & licenses 1

Addresses

Tax ID family

Gentle Dental Jefferson PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Gentle Dental Jefferson PLLC

  • Dentist
  • Detroit, MI
  • NPI 1831336502
  NPD tax ID

Locations

Practitioners 1

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

• Barbara Womack

  • General Practice Dentistry
  • Detroit, MI
  • NPI 1285779504
  NPD (past)

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192752000000",
    "number": "1295850261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 WASHINGTON BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482261807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 WASHINGTON BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482261807",
            "telephone_number": "313-963-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTLE DENTAL WASHINGTON BLVD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-10-19",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "INSURANCE DIRECTOR",
        "authorized_official_telephone_number": "727-726-1611"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gentle Dental 8 Mile PLLC
• Gentle Dental Grand River PLLC
• Gentle Dental Gratiot Ave PLLC
• Gentle Dental Jefferson PLLC
• Gentle Dental Plymouth Road PLLC
• Gentle Feelings in Home in Care
• Gentle Foot Care of Western Ohio
• Gentle Foot Care of Western Ohio, Inc.
• Gentle Help Services, LLC
• Gentle Help Services, LLC

• Dentist in Detroit, MI
• Providers in Detroit, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.