Organization Active NPI

Kenneth H. Retford DDS, PLLC

  • Dental Clinic/Center
  • Warren, MI
National Provider Identifier
1346975687
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
KENNETH H. RETFORD DDS, PLLC
Practice address
29856 Schoenherr Rd Ste 1
Warren, MI 48088-3600
Phone
(586) 771-6210
Fax
(586) 771-6229
NPI assigned
Jul 20, 2022
Last updated
Jul 20, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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

Authorized official

Name
Dr. Kenneth H Retford, DDSNPI 1972696292
Title
Dentist
Phone
(586) 771-6210

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

29856 Schoenherr Rd Ste 1
Warren, MI 48088-3600

Mailing address

29856 Schoenherr Rd Ste 1
Warren, MI 48088-3600
Phone (586) 771-6210

National Provider Directory

National Provider Directory

Locations

29856 Schoenherr Rd
Ste 1
Warren, MI 48088
Phone (586) 771-6210

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1658275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658275200000",
    "number": "1346975687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29856 SCHOENHERR RD STE 1",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480883600",
            "telephone_number": "586-771-6210",
            "fax_number": "586-771-6229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29856 SCHOENHERR RD STE 1",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480883600",
            "telephone_number": "586-771-6210",
            "fax_number": "586-771-6229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH H. RETFORD DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-20",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A",
        "authorized_official_last_name": "RETFORD",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "586-771-6210",
        "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 Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.