Michigan Dental Wellness Center PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MICHIGAN DENTAL WELLNESS CENTER PLLC

Practice address

4025 E Hill Rd
Grand Blanc, MI 48439-7942

Phone

(810) 695-4300

NPI assigned

Oct 6, 2020

Last updated

Oct 6, 2020By 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

Dr. Robert Norman Leach II, DDSNPI 1831250869

Title

Owner

Phone

(810) 695-4300

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Robert Leach, D.D.S

  • Dentist
  • Grand Blanc, MI
  • NPI 1831250869
  NPD Authorized official

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

{
    "created_epoch": "1601942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601942400000",
    "number": "1316544083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4025 E HILL RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484397942",
            "telephone_number": "810-695-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4025 E HILL RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484397942",
            "telephone_number": "810-695-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN DENTAL WELLNESS CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-06",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A",
        "authorized_official_last_name": "LEACH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "NORMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-695-4300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mi Neurosurgery Clinic PC
• Michael J. Sorscher M.D., P.C.
• Michael Wolfgram DDS PC (Lakeside Dental Associates)
• Michael J Michael Jr., M.D.
• Andrew Mena Michail, DO
• Michigan Independent Physicians Association, PLC (Michigan IPA)
• Michigan Lung and Critical Care Specialists, PC
• Michigan Maternal Fetal Medicine PLC
• Michigan Neurosurgical Institute PC
• Michigan Neurosurgical Institute, P.C

• Dental Clinic/Center in Grand Blanc, MI
• Providers in Grand Blanc, MI by specialty
• Dental Clinic/Center in Michigan

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