Sdpa Management PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SDPA MANAGEMENT PLLC

Doing business as

Family Dental Center
Lavender Dental Group
Rochester Hills Dental Associates

Practice address

4915 Jefferson Ave.
Midland, MI 48640

Phone

(989) 631-8913

Fax

(989) 631-0521

NPI assigned

Mar 11, 2020

Organization subpart

No

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

Authorized official

Name

Scott-Ross Dailey

Title

Revenue Cycle Manager

Phone

(269) 223-7663

Specialties & licenses 1

Addresses

Other names 3

• Family Dental Center Doing business as
• Lavender Dental Group Doing business as
• Rochester Hills Dental Associates Doing business as

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Megan Bischer, DDS

  • General Practice Dentistry
  • Saginaw, MI
  • NPI 1578254561
  NPD (past)
• Mackensy S Lakian, DMD

  • General Practice Dentistry
  • Rochester Hills, MI
  • NPI 1184232316
  NPD (past)
• Donald P Ohlsson, DDS

  • Dentist
  • Rochester, MI
  • NPI 1124053376
  NPD (past)
• Robert P. Rocco, D.D.S.

  • General Practice Dentistry
  • Otsego, MI
  • NPI 1871714675
  NPD (past)
• Delynn M. Shattuck, DDS

  • General Practice Dentistry
  • Saginaw, MI
  • NPI 1285759043
  NPD (past)
• Wayne D Westbrook, DDS

  • Dentist
  • Dutton, MI
  • NPI 1366532798
  NPD (past)

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

{
    "created_epoch": "1583884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635724800000",
    "number": "1407481260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 W SQUARE LK RD",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "48302",
            "telephone_number": "989-600-0993",
            "fax_number": "989-631-0521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4915 JEFFERSON AVE.",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "48640",
            "telephone_number": "989-631-8913",
            "fax_number": "989-631-0521"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30768 Lyon Center Dr, E",
            "address_purpose": "LOCATION",
            "city": "New Hudson",
            "state": "MI",
            "postal_code": "48165",
            "country_code": "US",
            "telephone_number": "111-111-1111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 S Shore Dr Unit 225",
            "address_purpose": "LOCATION",
            "city": "Battle Creek",
            "state": "MI",
            "postal_code": "490145440",
            "country_code": "US",
            "telephone_number": "269-964-7557",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7 W Square Lake Rd",
            "address_purpose": "LOCATION",
            "city": "Bloomfield Hills",
            "state": "MI",
            "postal_code": "483020462",
            "country_code": "US",
            "telephone_number": "269-223-7663",
            "fax_number": "269-964-0085",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3125 68th St SE",
            "address_purpose": "LOCATION",
            "city": "Dutton",
            "state": "MI",
            "postal_code": "493169133",
            "country_code": "US",
            "telephone_number": "616-698-6000",
            "fax_number": "616-554-3260",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5382 Gratiot Rd",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "MI",
            "postal_code": "486386035",
            "country_code": "US",
            "telephone_number": "989-790-3400",
            "fax_number": "989-790-4923",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1460 Walton Blvd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Rochester Hills",
            "state": "MI",
            "postal_code": "483091779",
            "country_code": "US",
            "telephone_number": "248-651-1613",
            "fax_number": "248-651-1632",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "133 E Allegan St",
            "address_purpose": "LOCATION",
            "city": "Otsego",
            "state": "MI",
            "postal_code": "490781101",
            "country_code": "US",
            "telephone_number": "269-694-2800",
            "fax_number": "269-694-1572",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 W Saginaw St",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489151380",
            "country_code": "US",
            "telephone_number": "517-485-8677",
            "fax_number": "517-325-5641",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4291 Beaverton Rd",
            "address_purpose": "LOCATION",
            "city": "Beaverton",
            "state": "MI",
            "postal_code": "486129737",
            "country_code": "US",
            "telephone_number": "989-435-7734",
            "fax_number": "989-607-6774",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "491 Columbia Ave E Ste 3",
            "address_purpose": "LOCATION",
            "city": "Battle Creek",
            "state": "MI",
            "postal_code": "490145468",
            "country_code": "US",
            "telephone_number": "269-964-3204",
            "fax_number": "269-964-0085",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4721 Dixie Hwy",
            "address_purpose": "LOCATION",
            "city": "Waterford",
            "state": "MI",
            "postal_code": "483293565",
            "country_code": "US",
            "telephone_number": "248-673-7026",
            "fax_number": "248-673-6989",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SDPA MANAGEMENT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-11",
        "last_updated": "2021-11-01",
        "certification_date": "2021-10-13",
        "status": "A",
        "authorized_official_last_name": "DAILEY",
        "authorized_official_first_name": "SCOTT-ROSS",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "269-223-7663"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Dental Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lavender Dental Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rochester Hills Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rochester Hills Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Scott W. Zimostrad, PH.D., P.C.
• Agnes Marie Scott, MSW
• Brandon Scott
• Gerald K Scott, MA, LLPC
• Laura M Scott, P.A.-C
• Stephanie Sebald, OTRL
• Ebin Sebastian, MBBS
• Tyler Sedlak
• Joseph Frank Sedlar III, FNP-BC
• Francine Sefton, MSW INTERN

• General Practice Dentistry in Midland, MI
• Providers in Midland, 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 1, 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.