NPIMap

Organization Active NPI

Hartland Gentle Dental, P.C.

  • Dental Clinic/Center
  • Hartland, MI
National Provider Identifier
1326781279
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
HARTLAND GENTLE DENTAL, P.C.
Practice address
11479 Highland Rd Ste a
Hartland, MI 48353-2737
Phone
(810) 632-5364
Fax
(810) 632-9576
NPI assigned
Apr 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

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

Authorized official

Name
Dr. Kyle Louis Bouhana, DDS
Title
Owner Dentist
Phone
(810) 632-5364

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

11479 Highland Rd Ste a
Hartland, MI 48353-2737

Mailing address

11479 Highland Rd Ste a
Hartland, MI 48353-2737
Phone (810) 632-5364

National Provider Directory

National Provider Directory

Locations

11479 Highland Rd
Ste A
Hartland, MI 48353
Phone (810) 632-5364

NPI Registry JSON

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

{
    "created_epoch": "1650326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650931200000",
    "number": "1326781279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11479 HIGHLAND RD STE A",
            "city": "HARTLAND",
            "state": "MI",
            "postal_code": "483532737",
            "telephone_number": "810-632-5364",
            "fax_number": "810-632-9576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11479 HIGHLAND RD STE A",
            "city": "HARTLAND",
            "state": "MI",
            "postal_code": "483532737",
            "telephone_number": "810-632-5364",
            "fax_number": "810-632-9576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARTLAND GENTLE DENTAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-19",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A",
        "authorized_official_last_name": "BOUHANA",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "810-632-5364",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; 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.