Canton Ardent

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

CANTON ARDENT

Doing business as

Hometown Dental

Practice address

45650 Ford Rd
Canton, MI 48187-5432

Phone

(734) 999-3366

Fax

(734) 999-3368

NPI assigned

Sep 18, 2020

Organization subpart

No

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

Authorized official

Name

Ms. Laura Burkeen

Title

Mananger

Phone

(734) 657-3395

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Hometown Dental Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1600387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600387200000",
    "number": "1407462187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45650 FORD RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481875432",
            "telephone_number": "734-999-3366",
            "fax_number": "734-999-3368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45650 FORD RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481875432",
            "telephone_number": "734-999-3366",
            "fax_number": "734-999-3368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANTON ARDENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-18",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A",
        "authorized_official_last_name": "BURKEEN",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "MANANGER",
        "authorized_official_telephone_number": "734-657-3395",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LENA MUSTAFA",
            "identifier": "1841553302",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARESH SHRIMANKAR",
            "identifier": "1508985318",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SHARVIL SHAH",
            "identifier": "1053768432",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lburkeen@plymouthdentistry.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "40400 Ann Arbor Rd E Ste 103",
            "city": "Plymouth",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481704590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Hometown Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Kayla Nicole Cane, MS, RDN, LDN
• Canton ASC LLC
• Canton Asthma & Allergy PC
• Canton BCC LLC
• Canton BCC LLC
• Canton Center Dental PLLC

• Dental Clinic/Center in Canton, MI
• Providers in Canton, MI by specialty
• Dental Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.