Distinctive Dental

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

DISTINCTIVE DENTAL

Practice address

58047 Van Dyke Rd
Suite #101
Washington TWP, MI 48094-4000

Phone

(586) 207-6013

Fax

(586) 207-6300

NPI assigned

May 8, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Michael Davidson, DDSNPI 1568553857

Title

Dentist

Phone

(586) 207-6013

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Thomas Michael Davidson, D.D.S.

  • General Practice Dentistry
  • Washington, MI
  • NPI 1568553857
  NPD Authorized official

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743984000000",
    "number": "1295902302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58047 VAN DYKE RD",
            "address_2": "SUITE #101",
            "city": "WASHINGTON TWP",
            "state": "MI",
            "postal_code": "480944000",
            "telephone_number": "586-207-6013",
            "fax_number": "586-207-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58047 VAN DYKE RD",
            "address_2": "SUITE #101",
            "city": "WASHINGTON TWP",
            "state": "MI",
            "postal_code": "480944000",
            "telephone_number": "586-207-6013",
            "fax_number": "586-207-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISTINCTIVE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-08",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "586-207-6013",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dimitrios Bastounis, RPH
• Barbara Blackmon
• Lindsey Blake, LLPC, NCC
• Darren Bodeep, R.PH.
• Sandra Daniel
• Dr Stephen R. Henry, DDS PC
• Brianna Emlaw, PHARMD
• Barbara Fisher, PHD
• Chantel Fontaine, DPT
• Jennifer Lynn Fregoli, CTRS

• Dentist in Washington TWP, MI
• Providers in Washington TWP, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; 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.