Owosso Dental Associates, PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

OWOSSO DENTAL ASSOCIATES, PC

Practice address

109 E Williams St
Owosso, MI 48867-2360

Phone

(989) 723-6118

Fax

(989) 729-9588

NPI assigned

Nov 9, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Dana L Kong, DDSNPI 1508982109

Title

Dentist/Owner

Phone

(989) 723-6118

Specialties & licenses 1

Addresses

Other names 1

• Dr. Dana L. Kong Doing business as

Locations

Practitioners 1

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

• Dana Lyle Kong, DDS

  • General Practice Dentistry
  • Owosso, MI
  • NPI 1508982109
  NPD Authorized official

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

{
    "created_epoch": "1667952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667952000000",
    "number": "1336857317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 E WILLIAMS ST",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488672360",
            "telephone_number": "989-723-6118",
            "fax_number": "989-729-9588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 E WILLIAMS ST",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488672360",
            "telephone_number": "989-723-6118",
            "fax_number": "989-729-9588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OWOSSO DENTAL ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-09",
        "last_updated": "2022-11-09",
        "certification_date": "2022-06-27",
        "status": "A",
        "authorized_official_last_name": "KONG",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "989-723-6118",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Dana L. Kong",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Crystal M Osmer, LMSW, CAADC
• Kayla Ostipow
• Susan Marie Ott, D.O.
• Zoe Otte
• Delana Owens
• Owosso Eye Care
• Owosso Family Optometry Center PC
• Owosso Heart Institute
• Owosso Internal Medicine PC
• Owosso Medical Associates PC

• Dentist in Owosso, MI
• Providers in Owosso, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.