Hewitt Road Family Dental Center

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

HEWITT ROAD FAMILY DENTAL CENTER

Practice address

3060 Packard Rd
Ypsilanti, MI 48197-1978

Phone

(734) 434-9815

Fax

(734) 434-1836

NPI assigned

Mar 26, 2007

Last updated

Sep 28, 2011By 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

Dr. Mark Andrew Cooks, D.D.S.NPI 1831154012

Title

Dentist Owner

Phone

(734) 434-9815

Specialties & licenses 1

Addresses

Other names 1

• Five Macs Properties LLC Former legal business name

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.

• Mark Cooks, D.D.S

  • General Practice Dentistry
  • Ypsilanti, MI
  • NPI 1831154012
  Authorized official Same address or phone

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317168000000",
    "number": "1407974710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3060 PACKARD RD",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971978",
            "telephone_number": "734-434-9815",
            "fax_number": "734-434-1836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3060 PACKARD RD",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971978",
            "telephone_number": "734-434-9815",
            "fax_number": "734-434-1836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEWITT ROAD FAMILY DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2011-09-28",
        "status": "A",
        "authorized_official_last_name": "COOKS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "734-434-9815",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Five Macs Properties LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Katherine Hershey, FNP-BC
• Ann Hess, M.D.
• Jason Joseph Hesselberg, D.C.
• Jonathan A Hesson, MD
• Gretchen L Heutsche, D.P.M.
• Kalli Elizabeth Hewitt, DPM
• Marie Louise Heys, A.P.R.N. B.C,
• Hi-Tec Total Wellness, PC
• Susan L Hickenbottom, M.D.
• Hicks and Hawkins Health Services LLC

• General Practice Dentistry in Ypsilanti, MI
• Providers in Ypsilanti, 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 Sep 28, 2011; 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.