Bradley J. Gauthier, DDS, Ms, PC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

2901021816 Issued in MI

Legal business name

BRADLEY J. GAUTHIER, DDS, MS, PC

Practice address

1000 W University Dr # 101
Rochester, MI 48307-1873

Phone

(248) 656-0040

NPI assigned

Nov 2, 2016

Organization subpart

No

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

Authorized official

Name

Lauren Gauthier

Title

Business Manager

Phone

(906) 399-0342

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.

• Bradley Joseph Gauthier, DDS, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Rochester, MI
  • NPI 1447611223
  NPD

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

{
    "created_epoch": "1478044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1386196798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48309 MAPLEHURST DR",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483172788",
            "telephone_number": "906-399-0342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W UNIVERSITY DR # 101",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483071873",
            "telephone_number": "248-656-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY J. GAUTHIER, DDS, MS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-02",
        "last_updated": "2023-09-06",
        "certification_date": "2023-03-15",
        "status": "A",
        "authorized_official_last_name": "GAUTHIER",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "906-399-0342"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MI",
            "license": "2901021816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremy Bliss, CRNA
• Bohdan N Zarewych D.O.P.C.
• Leslie Bolling, SOCIAL WORKER
• Jasmine Marie Bollus, FNP
• Renee Patrice Boyle
• Kristin Dickhoner Brandstetter, RD
• Amanda Chivu Brannick, M.D.
• Breakwater Oral and Maxillofacial Surgery PLLC
• Nicole Briggs
• Brightpath Wellness LLC

• Orthodontics and Dentofacial Orthopedics Dentistry in Rochester, MI
• Providers in Rochester, MI by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.