Wayne Family Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

WAYNE FAMILY DENTAL PLLC

Doing business as

village dental

Practice address

35100 E Michigan Ave
Wayne, MI 48184-3698

Phone

(586) 651-2155

NPI assigned

Nov 30, 2020

Last updated

Nov 30, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Theresa LabrancheNPI 1154438745

Title

Coo

Phone

(586) 651-2155

Specialties & licenses 1

Addresses

Other names 1

• village dental Doing business as

Locations

Practitioners 1

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.

• Theresa Lynne Labranche, M.S. PA C

  • Medical Physician Assistant
  • Rochester, MI
  • NPI 1154438745
  Authorized official Same address or phone

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

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606694400000",
    "number": "1386248409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35100 E MICHIGAN AVE",
            "city": "WAYNE",
            "state": "MI",
            "postal_code": "481843698",
            "telephone_number": "586-651-2155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35100 E MICHIGAN AVE",
            "city": "WAYNE",
            "state": "MI",
            "postal_code": "481843698",
            "telephone_number": "586-651-2155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE FAMILY DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-30",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A",
        "authorized_official_last_name": "LABRANCHE",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "586-651-2155"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "village dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wayne County Health Department
• Wayne County Regional Educational Service Agency
• Wayne County Treasurer Payroll (Wayne County Health Department)
• Wayne County Treasurer Payroll-County of Wayne
• Wayne Family Dental Association PC
• Wayne Healthcare LLC (Transitional Health Services of Wayne)
• Wayne Mi Opco LLC
• Wayne Neurology PLC
• Wayne Neuroscience Management, LLC
• Wayne Primary Care

• General Practice Dentistry in Wayne, MI
• Providers in Wayne, 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 Nov 30, 2020; 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.