NPIMap

Organization Active NPI

Anchor Bay Family Dental, PLLC

  • General Practice Dentistry
  • New Baltimore, MI
National Provider Identifier
1316007602
Registry record updated Feb 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ANCHOR BAY FAMILY DENTAL, PLLC
Practice address
35050 23 Mile Rd
Suite a
New Baltimore, MI 48047-3606
Phone
(586) 725-4311
Fax
(586) 725-3588
NPI assigned
Dec 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2017

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

Authorized official

Name
Dr. Dana K Freeman, D.D.S.NPI 1558574483
Title
President
Phone
(586) 725-4311

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

35050 23 Mile Rd
Suite a
New Baltimore, MI 48047-3606

Mailing address

35050 23 Mile Rd
Suite a
New Baltimore, MI 48047-3606
Phone (586) 725-4311

Other names 1

  • ANCHOR BAY DENTAL ASSOCIATES Doing business as

National Provider Directory

National Provider Directory

Locations

35050 23 Mile Rd
Ste A
New Baltimore, MI 48047
Phone (586) 725-4311

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": "1165622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486944000000",
    "number": "1316007602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35050 23 MILE RD",
            "address_2": "SUITE A",
            "city": "NEW BALTIMORE",
            "state": "MI",
            "postal_code": "480473606",
            "telephone_number": "586-725-4311",
            "fax_number": "586-725-3588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35050 23 MILE RD",
            "address_2": "SUITE A",
            "city": "NEW BALTIMORE",
            "state": "MI",
            "postal_code": "480473606",
            "telephone_number": "586-725-4311",
            "fax_number": "586-725-3588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANCHOR BAY FAMILY DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-09",
        "last_updated": "2017-02-13",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-725-4311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ANCHOR BAY DENTAL ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Baltimore, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2017; 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.