Spring Arbor Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

21829 Issued in MI

Legal business name

SPRING ARBOR DENTAL PLLC

Practice address

2532 Spring Arbor Rd
Unit 4
Jackson, MI 49203-3663

Phone

(517) 789-8622

Fax

(517) 789-8636

NPI assigned

Dec 14, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Sherri L Jennings

Title

Practice Manager

Phone

(517) 789-8622

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1481673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481673600000",
    "number": "1407390107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2532 SPRING ARBOR RD",
            "address_2": "UNIT 4",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492033663",
            "telephone_number": "517-789-8622",
            "fax_number": "517-789-8636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2532 SPRING ARBOR RD",
            "address_2": "UNIT 4",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492033663",
            "telephone_number": "517-789-8622",
            "fax_number": "517-789-8636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING ARBOR DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-14",
        "last_updated": "2016-12-14",
        "status": "A",
        "authorized_official_last_name": "JENNINGS",
        "authorized_official_first_name": "SHERRI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "517-789-8622",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "19622",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "21829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Robert Spicer, DO
• Megan Kyna Spicer, N.P.
• Shannon L Spicer, LMSW, CAADC
• Craig Eugene Sponseller, PA-C
• Gregory James Spray, CCC-SLP
• Springcrest Family Physicians, P.C.
• Springcrest Sleep Solutions PLLC
• David Lee Sprunger
• Himabindu Sreenivasulu, MD
• Sahaana Sridhar

• General Practice Dentistry in Jackson, MI
• Providers in Jackson, 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 Dec 14, 2016; 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.