Bay City Dental Clinic

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BAY CITY DENTAL CLINIC

Practice address

1411 Center Ave
Bay City, MI 48708-6109

Phone

(989) 892-7062

Fax

(989) 892-3561

NPI assigned

Jan 18, 2008

Last updated

Jan 18, 2008By 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

Mrs. Gina Janke

Title

Manager

Phone

(989) 892-7062

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1200614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200614400000",
    "number": "1306022462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 CENTER AVE",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487086109",
            "telephone_number": "989-892-7062",
            "fax_number": "989-892-3561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 CENTER AVE",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487086109",
            "telephone_number": "989-892-7062",
            "fax_number": "989-892-3561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY CITY DENTAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-18",
        "last_updated": "2008-01-18",
        "status": "A",
        "authorized_official_last_name": "JANKE",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "989-892-7062",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Bay City, MI
• Providers in Bay City, 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 Jan 18, 2008; 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.