Stoneybrook Dental, P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

14830 Issued in MI

Legal business name

STONEYBROOK DENTAL, P.C.

Practice address

23020 Power Rd
Farmington, MI 48336-3226

Phone

(248) 476-0383

Fax

(248) 476-1191

NPI assigned

May 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Louis Enrique Leonor, D.D.S.

Title

President

Phone

(248) 476-0383

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336358654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23020 POWER RD",
            "city": "FARMINGTON",
            "state": "MI",
            "postal_code": "483363226",
            "telephone_number": "248-476-0383",
            "fax_number": "248-476-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23020 POWER RD",
            "city": "FARMINGTON",
            "state": "MI",
            "postal_code": "483363226",
            "telephone_number": "248-476-0383",
            "fax_number": "248-476-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONEYBROOK DENTAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEONOR",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "ENRIQUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-476-0383",
        "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": "MI",
            "license": "14830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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.