Active NPI
George Joseph Magulak Jr., DDS
- Dentist
- Utica, MI
National Provider Identifier
1346330768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2901013004
- Practice address
- 7811 Summers St
Utica, MI 48317-5559 - Phone
- (586) 731-9240
- Fax
- (586) 731-4688
- NPI assigned
- Oct 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2901013004 | MI | Primary |
Addresses
Primary practice location
7811 Summers St
Utica, MI 48317-5559
Mailing address
7811 Summers St
Utica, MI 48317-5559
Phone (586) 731-9240
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2901013004 | MI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christopher J. Manduzzi DDS PC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Utica, MI
- NPI 1013259910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1346330768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7811 SUMMERS ST",
"city": "UTICA",
"state": "MI",
"postal_code": "483175559",
"telephone_number": "586-731-9240",
"fax_number": "586-731-4688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7811 SUMMERS ST",
"city": "UTICA",
"state": "MI",
"postal_code": "483175559",
"telephone_number": "586-731-9240",
"fax_number": "586-731-4688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGULAK",
"first_name": "GEORGE",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "2901013004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Utica, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.