Organization Active NPI

Warren Vallerand, DDS, MD, PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Novi, MI
National Provider Identifier
1376712968
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
WV017431 Issued in MI
Legal business name
WARREN VALLERAND, DDS, MD, PC
Practice address
40399 Grand River Ave
Suite 140
Novi, MI 48375-2148
Phone
(248) 478-7200
Fax
(248) 478-7237
NPI assigned
Feb 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

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

Authorized official

Name
Dr. Warren P Vallerand, DDS, MD
Title
Surgeon
Phone
(248) 478-7200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X WV017431 MI Primary

Addresses

Primary practice location

40399 Grand River Ave
Suite 140
Novi, MI 48375-2148

Mailing address

40399 Grand River Ave
Suite 140
Novi, MI 48375-2148
Phone (248) 478-7200

National Provider Directory

National Provider Directory

Locations

40399 Grand River Ave
Ste 140
Novi, MI 48375
Phone (248) 478-7200

39500 W 10 Mile Rd
Ste 105
Novi, MI 48375
Phone (248) 478-7200

NPI Registry JSON

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204156800000",
    "number": "1376712968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40399 GRAND RIVER AVE",
            "address_2": "SUITE 140",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483752148",
            "telephone_number": "248-478-7200",
            "fax_number": "248-478-7237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40399 GRAND RIVER AVE",
            "address_2": "SUITE 140",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483752148",
            "telephone_number": "248-478-7200",
            "fax_number": "248-478-7237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARREN VALLERAND, DDS, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-27",
        "last_updated": "2008-02-28",
        "status": "A",
        "authorized_official_last_name": "VALLERAND",
        "authorized_official_first_name": "WARREN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "SURGEON",
        "authorized_official_telephone_number": "248-478-7200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MI",
            "license": "WV017431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; 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.