Jewell Dental of Rose Vision

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

17336 Issued in MI

Legal business name

JEWELL DENTAL OF ROSE VISION

Practice address

33228 W 12 Mile Rd
Suite 289
Farmington Hills, MI 48334-3309

Phone

(313) 839-8888

NPI assigned

May 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Reginald Bernard Jewell, DDS

Title

President

Phone

(313) 839-8888

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316158157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33228 W 12 MILE RD",
            "address_2": "SUITE 289",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343309",
            "telephone_number": "313-839-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33228 W 12 MILE RD",
            "address_2": "SUITE 289",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343309",
            "telephone_number": "313-839-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEWELL DENTAL OF ROSE VISION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JEWELL",
        "authorized_official_first_name": "REGINALD",
        "authorized_official_middle_name": "BERNARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-839-8888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "17336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Suzanne Jett
• Jettie Chiropractic Center P.C.
• Christopher Charles Jettie
• Ronald Charles Jettie, DC
• Scott Ronald Jettie, D.C.
• Anne-Marie Jewell
• Kadijah Jewell
• Rebecca Jewell
• Ryan Jewell
• Jewish Dental Clinic Inc.

• General Practice Dentistry in Farmington Hills, MI
• Providers in Farmington Hills, 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 Aug 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.