Clio Family Dentistry PLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CLIO FAMILY DENTISTRY PLC

Practice address

4279 W Vienna Rd
Clio, MI 48420-9440

Phone

(810) 687-2000

NPI assigned

Jul 22, 2020

Last updated

Jul 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Chad Mark Witkow, DDSNPI 1316099179

Title

General Dentist

Phone

(810) 687-2000

Specialties & licenses 1

Addresses

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.

• Chad Mark Witkow, D.D.S.

  • General Practice Dentistry
  • Clio, MI
  • NPI 1316099179
  Authorized official Same address or phone

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

{
    "created_epoch": "1595376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595376000000",
    "number": "1366050619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4279 W VIENNA RD",
            "city": "CLIO",
            "state": "MI",
            "postal_code": "484209440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4279 W VIENNA RD",
            "city": "CLIO",
            "state": "MI",
            "postal_code": "484209440",
            "telephone_number": "810-687-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLIO FAMILY DENTISTRY PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-22",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A",
        "authorized_official_last_name": "WITKOW",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "810-687-2000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jean Chalker, MA CCC SLP
• Chloe Clarambeau
• Clio Community Pharmacy Inc (Clio Community Pharmacy)
• Clio Community Pharmacy Inc (Clio Community Pharmacy)
• Clio Dental Center
• Clio Imaging
• Clio Urgent Care PLLC
• Clio Vision Services Inc
• Aubrey Faith Colter
• Theresa Anne Commet, PHYSICAL THERAPIST

• General Practice Dentistry in Clio, MI
• Providers in Clio, MI by specialty
• General Practice Dentistry in Michigan

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

Verify at the official NPI Registry.