Gregg S Resnick DDS

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

License

2901013806 Issued in MI

Legal business name

GREGG S RESNICK DDS

Practice address

110 Arbor LN
Alpena, MI 49707-1302

Phone

(989) 354-4884

NPI assigned

Dec 6, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Gregg S Resnick, DDSNPI 1740294784

Title

Owner

Phone

(989) 354-4884

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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.

• Gregg Stephen Resnick, DDS

  • General Practice Dentistry
  • Alpena, MI
  • NPI 1740294784
  NPD Authorized official
• Nicole Arsenault, D.D.S.

  • Dentist
  • Alpena, MI
  • NPI 1598051088
  NPD (past)

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

{
    "created_epoch": "1512518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512518400000",
    "number": "1366957862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 ARBOR LN",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497071302",
            "telephone_number": "989-354-4884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 ARBOR LN",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497071302",
            "telephone_number": "989-354-4884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGG S RESNICK DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-06",
        "last_updated": "2017-12-06",
        "status": "A",
        "authorized_official_last_name": "RESNICK",
        "authorized_official_first_name": "GREGG",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-354-4884",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "MI",
            "license": "2901013806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740294784",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Renee Graham, LPC
• Todd James Graham, BA
• Grand Lake Health Center LLC (Journey Health Center)
• Great Lakes Heart Center of Alpena PLC
• Green View Opco, LLC (Medilodge of Green View)
• Teresa E Griffith, M.D.
• Makenna Alexis Grulke
• Jennifer S Gruschke, M.A. CCC-A
• Dawn Grzeskowiak
• Guardian Speech Services LLC

• Oral and Maxillofacial Surgery Clinic/Center in Alpena, MI
• Providers in Alpena, MI by specialty
• Oral and Maxillofacial Surgery Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2017; 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.