Epp Michigan PLLC

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

EPP MICHIGAN PLLC

Doing business as

Professional Endodontics

Practice address

29201 Telegraph Rd
Southfield, MI 48034-1331

Phone

(248) 358-2910

NPI assigned

Dec 6, 2021

Organization subpart

No

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

Authorized official

Name

Jason Bertollini

Title

Insurance Specialist

Phone

(315) 450-0763

Specialties & licenses 1

Addresses

Other names 1

• Professional Endodontics Doing business as

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

{
    "created_epoch": "1638748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638748800000",
    "number": "1386302487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5115 MARYLAND WAY STE 115",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277512",
            "telephone_number": "315-450-0763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29201 TELEGRAPH RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341331",
            "telephone_number": "248-358-2910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPP MICHIGAN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-06",
        "last_updated": "2021-12-06",
        "certification_date": "2021-11-24",
        "status": "A",
        "authorized_official_last_name": "BERTOLLINI",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "INSURANCE SPECIALIST",
        "authorized_official_telephone_number": "315-450-0763"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional Endodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jo Elyn Ensroth, LPC
• Omid Entezami, PT
• Envision Wellness LLC
• Epic Health Pharmacy PLLC
• Epic Management, LLC
• Angel Epps, LMSW
• Laurie Epstein Kach, MSW
• Elaine Beth Epstein, PSYD, LP
• Marcy L Epstein, PHARMD
• Jennifer Erdelyi

• Endodontics in Southfield, MI
• Providers in Southfield, MI by specialty
• Endodontics in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; 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.