Your Family Dentist PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901015644 Issued in MI

Legal business name

YOUR FAMILY DENTIST PC

Practice address

28245 Southfield Rd
Lathrup Village, MI 48076-2863

Phone

(248) 423-9000

Fax

(248) 423-9020

NPI assigned

Aug 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Paula Gene Carson, D.D.S.NPI 1699860379

Title

Owner

Phone

(248) 423-9000

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Paula Gene Carson, D.D.S.

  • General Practice Dentistry
  • Lathrup Village, MI
  • NPI 1699860379
  NPD (past) Authorized official

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

{
    "created_epoch": "1187913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187913600000",
    "number": "1366635146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28245 SOUTHFIELD RD",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480762863",
            "telephone_number": "248-423-9000",
            "fax_number": "248-423-9020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28245 SOUTHFIELD RD",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480762863",
            "telephone_number": "248-423-9000",
            "fax_number": "248-423-9020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR FAMILY DENTIST PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-24",
        "last_updated": "2007-08-24",
        "status": "A",
        "authorized_official_last_name": "CARSON",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "GENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-423-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901015644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Womancare of Southfield, P.C.
• Richard J Woolman, DC
• Tyrus Wright
• Xillion Group, LLC
• Zaid Yaldo, M.D.
• Bilal Mohammed Zahoor, DDS
• Samira Zebari, M.D.

• General Practice Dentistry in Lathrup Village, MI
• Providers in Lathrup Village, 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 Aug 24, 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.

Verify at the official NPI Registry.