NPIMap

Organization Active NPI

Waterford Family Dental PLLC

  • Dental Clinic/Center
  • Waterford, MI
National Provider Identifier
1306454723
Registry record updated Jul 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
WATERFORD FAMILY DENTAL PLLC
Practice address
5695 Dixie Hwy
Waterford, MI 48329-1619
Phone
(248) 707-3650
NPI assigned
Jul 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2020

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

Authorized official

Name
Megan Drummond
Title
Management
Phone
(386) 283-7165

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

5695 Dixie Hwy
Waterford, MI 48329-1619

Mailing address

5695 Dixie Hwy
Waterford, MI 48329-1619
Phone (248) 707-3650

Other names 1

  • Waterford Family Dental Doing business as

National Provider Directory

National Provider Directory

Locations

5695 Dixie Hwy
Waterford Twp, MI 48329
Phone (248) 625-2066

Practitioners & affiliated clinicians

Practitioners 3

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": "1595376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595376000000",
    "number": "1306454723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5695 DIXIE HWY",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483291619",
            "telephone_number": "248-707-3650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5695 DIXIE HWY",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483291619",
            "telephone_number": "248-707-3650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERFORD FAMILY DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-22",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A",
        "authorized_official_last_name": "DRUMMOND",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "MANAGEMENT",
        "authorized_official_telephone_number": "386-283-7165"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Waterford Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waterford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; 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.