David Allen Aldrich, D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

2901011993 Issued in MI

Practice address

9416 S Main St
Plymouth, MI 48170-4157

Phone

(734) 455-0710

Fax

(734) 455-4433

NPI assigned

Nov 29, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Plymouth Oral & Facial Surgery, PLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Plymouth, MI
  • NPI 1245253111

  Oral and Maxillofacial Surgery

  NPD (past)

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376610352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48676 PINEHILL DR",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481703245",
            "telephone_number": "734-454-4663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9416 S MAIN ST",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481704157",
            "telephone_number": "734-455-0710",
            "fax_number": "734-455-4433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALDRICH",
        "first_name": "DAVID",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MI",
            "license": "2901011993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE ID",
            "identifier": "DAO11993",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS MEDICAL",
            "identifier": "97OH28051",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beth Albano, OTRL, CBIS
• Zeinab Albugalal
• Martha Danielle Alcantar-Lopez
• Alcona Citizens for Health Inc
• Briana Alcorta
• Hannah Aldridge
• Alexis Alexander
• Jason Alexander
• Jeffrey Alexander
• Monique Alexander

• All providers in Plymouth, MI
• Oral and Maxillofacial Surgery (Dentist) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.