Organization Active NPI

Canton Family Dental PLLC

  • General Practice Dentistry
  • Canton, MI
National Provider Identifier
1346931243
Registry record updated May 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CANTON FAMILY DENTAL PLLC
Practice address
7676 N Canton Center Rd
Canton, MI 48187-1500
Phone
(734) 789-3232
NPI assigned
May 19, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2023

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

Authorized official

Name
Daniel Fragnoli, DDSNPI 1518308006
Title
Owner Dentist
Phone
(586) 484-2054

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

7676 N Canton Center Rd
Canton, MI 48187-1500

Mailing address

21879 Barclay Dr
Novi, MI 48374-3865
Phone (586) 484-2054

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1684454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684454400000",
    "number": "1346931243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21879 BARCLAY DR",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483743865",
            "telephone_number": "586-484-2054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7676 N CANTON CENTER RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481871500",
            "telephone_number": "734-789-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANTON FAMILY DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-19",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A",
        "authorized_official_last_name": "FRAGNOLI",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "586-484-2054",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; 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.