Santini Family Dentistry, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SANTINI FAMILY DENTISTRY, PLLC

Doing business as

Kristina N. Fredrickson, D.D.S

Practice address

720 East Blvd
Kingsford, MI 49802-4539

Phone

(906) 774-5087

Fax

(906) 774-0586

NPI assigned

Sep 16, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Jennifer Hollen

Title

Clinical Manager

Phone

(906) 774-5087

Specialties & licenses 1

Addresses

Other names 1

• Kristina N. Fredrickson, D.D.S Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristina Nichole Fredrickson, D.D.S.

  • General Practice Dentistry
  • Kingsford, MI
  • NPI 1285837823
  NPD (past)
• Dennis M Santini, DDS

  • General Practice Dentistry
  • Kingsford, MI
  • NPI 1639241037
  NPD (past)

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

{
    "created_epoch": "1600214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600214400000",
    "number": "1326654385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 EAST BLVD",
            "city": "KINGSFORD",
            "state": "MI",
            "postal_code": "498024539",
            "telephone_number": "906-774-5087",
            "fax_number": "906-774-0586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 EAST BLVD",
            "city": "KINGSFORD",
            "state": "MI",
            "postal_code": "498024539",
            "telephone_number": "906-774-5087",
            "fax_number": "906-774-0586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTINI FAMILY DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-16",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A",
        "authorized_official_last_name": "HOLLEN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CLINICAL MANAGER",
        "authorized_official_telephone_number": "906-774-5087",
        "authorized_official_name_prefix": "Mrs."
    },
    "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": "Kristina N. Fredrickson, D.D.S",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hanah Roell, SLP
• Jonica Rhea Ropiak, RN
• Justin M Saigh, D.D.S.
• Kaylynn Day Saigh, D.D.S.
• John Anthony Sand, DO
• Dennis M Santini, DDS
• Melissa Schafer
• Jennifer Schauer, SST
• Brittany Schmidt
• Andrew Tyler Schohl

• General Practice Dentistry in Kingsford, MI
• Providers in Kingsford, 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 Sep 16, 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.