Organization Active NPI

MGM Dental

  • Dentist
  • Clinton TWP, MI
National Provider Identifier
1306910930
Registry record updated May 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
14409 Issued in MI
Legal business name
MGM DENTAL
Practice address
39400 Garfield
Suite 100
Clinton TWP, MI 48038
Phone
(586) 263-4720
Fax
(586) 263-0237
NPI assigned
Nov 17, 2006
Last updated
May 6, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2008

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

Authorized official

Name
Dr. Gregory J Franklin, DDSNPI 1598831240
Title
Owner
Phone
(586) 263-4720

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 14409 MI Primary

Addresses

Primary practice location

39400 Garfield
Suite 100
Clinton TWP, MI 48038

Mailing address

39400 Garfield
Suite 100
Clinton TWP, MI 48038
Phone (586) 263-4720

Other identifiers 1

IdentifierTypeStateIssuer
J801715OtherMIBCBSM

Other names 1

  • Gregory J Franklin DDS and Assoc PC Former legal business name

National Provider Directory

National Provider Directory

Locations

39400 Garfield Rd
Ste 100
Clinton Twp, MI 48038
Phone (586) 263-4720

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210032000000",
    "number": "1306910930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39400 GARFIELD",
            "address_2": "SUITE 100",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "48038",
            "telephone_number": "586-263-4720",
            "fax_number": "586-263-0237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39400 GARFIELD",
            "address_2": "SUITE 100",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "48038",
            "telephone_number": "586-263-4720",
            "fax_number": "586-263-0237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MGM DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2008-05-06",
        "status": "A",
        "authorized_official_last_name": "FRANKLIN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-263-4720",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "14409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "J801715",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gregory J Franklin DDS and Assoc PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Clinton TWP, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.