Active NPI
Allegan Family Dentistry PC
- Dentist
- Allegan, MI
National Provider Identifier
1356456941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 013112
- Legal business name
- ALLEGAN FAMILY DENTISTRY PC
- Practice address
- 1630 M 40 North
Allegan, MI 49010-9410 - Phone
- (269) 673-7274
- Fax
- (269) 686-0347
- NPI assigned
- Aug 21, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael George Ocallaghan, DDS
- Title
- Dentist President
- Phone
- (269) 673-7274
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 013112 | MI | Primary |
Addresses
Primary practice location
1630 M 40 North
Allegan, MI 49010-9410
Mailing address
1630 M 40 North
Allegan, MI 49010-9410
Phone (269) 673-7274
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1356456941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1630 M 40 NORTH",
"city": "ALLEGAN",
"state": "MI",
"postal_code": "490109410",
"telephone_number": "269-673-7274",
"fax_number": "269-686-0347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1630 M 40 NORTH",
"city": "ALLEGAN",
"state": "MI",
"postal_code": "490109410",
"telephone_number": "269-673-7274",
"fax_number": "269-686-0347"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLEGAN FAMILY DENTISTRY PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-21",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "OCALLAGHAN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "GEORGE",
"authorized_official_title_or_position": "DENTIST PRESIDENT",
"authorized_official_telephone_number": "269-673-7274",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "MI",
"license": "013112",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Allegan, MI
- Allegan County Health Department
- Allegan County Health Department
- Allegan County Intermediate School District
- Allegan Emergency Medical Services,Inc
- Allegan Eyecare PC
- Allegan Internal Medicine, P. C
- Allegan Medical Center Pharmacy
- Allegan Medical Clinic, P.C.
- Allegan Nursing Home, LLC
- Allegan Orthopedics PC
Sources for this page
- 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.