Joseph M Serra DDS PLC

Primary specialty

DentistTaxonomy code 122300000X

License

15679 Issued in MI

Legal business name

JOSEPH M SERRA DDS PLC

Practice address

42010 Grand River Ave
Novi, MI 48375-1831

Phone

(248) 380-9330

Fax

(248) 380-9359

NPI assigned

Aug 23, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Joseph M Serra, DDS

Title

Owner

Phone

(248) 380-9330

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1314057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314057600000",
    "number": "1417237314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42010 GRAND RIVER AVE",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483751831",
            "telephone_number": "248-380-9330",
            "fax_number": "248-380-9359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42010 GRAND RIVER AVE",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483751831",
            "telephone_number": "248-380-9330",
            "fax_number": "248-380-9359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH M SERRA DDS PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-23",
        "last_updated": "2011-08-23",
        "status": "A",
        "authorized_official_last_name": "SERRA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-380-9330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "15679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Novi, MI
• Providers in Novi, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.