Organization Active NPI

Tower Dental Care PLLC

  • Dentist
  • Detroit, MI
National Provider Identifier
1306019609
Registry record updated Apr 8, 2008
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128b(8) exclusion effective Feb 18, 2010.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
017708 Issued in MI
Legal business name
TOWER DENTAL CARE PLLC
Practice address
15400 Grand River Ave Ste 4
Detroit, MI 48227-4129
Phone
(313) 837-3000
Fax
(313) 838-4581
NPI assigned
Apr 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2008

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

Authorized official

Name
Lawrence W Stewart, DDSNPI 1265520738
Title
Owner/Dentist
Phone
(313) 837-3000

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 017708 MI Primary

Addresses

Primary practice location

15400 Grand River Ave Ste 4
Detroit, MI 48227-4129

Mailing address

15400 Grand River Ave Ste 4
Detroit, MI 48227-4129
Phone (313) 837-3000

Other names 1

  • PLLC Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Locations

15400 Grand River Ave
Detroit, MI 48227
Phone (301) 213-6803

15400 Grand River Ave
Ste 4
Detroit, MI 48227
Phone (313) 837-3000

Practitioners & affiliated clinicians

Practitioners 1

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": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1306019609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15400 GRAND RIVER AVE STE 4",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482274129",
            "telephone_number": "313-837-3000",
            "fax_number": "313-838-4581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15400 GRAND RIVER AVE STE 4",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482274129",
            "telephone_number": "313-837-3000",
            "fax_number": "313-838-4581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWER DENTAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-08",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "313-837-3000",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "017708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PLLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.