Gary C. Veraghen, DDS, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GARY C. VERAGHEN, DDS, PC

Practice address

22100 W. Outer Drive
Dearborn, MI 48124

Phone

(313) 563-5855

Fax

(313) 563-5865

NPI assigned

Feb 15, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Gary Claude Veraghen, D.D.S.

Title

Dentist/President

Phone

(313) 563-5855

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Daniel Blazo, D.D.S

  • Dentist
  • Dearborn, MI
  • NPI 1518316306
  NPD
• Brian Michael Long, D.D.S.

  • General Practice Dentistry
  • Dearborn, MI
  • NPI 1265503585
  NPD (past)

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

{
    "created_epoch": "1550188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550188800000",
    "number": "1417413360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22100 W. OUTER DRIVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "48124",
            "telephone_number": "313-563-5855",
            "fax_number": "313-563-5865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22100 W. OUTER DRIVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "48124",
            "telephone_number": "313-563-5855",
            "fax_number": "313-563-5865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY C. VERAGHEN, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-15",
        "last_updated": "2019-02-15",
        "status": "A",
        "authorized_official_last_name": "VERAGHEN",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "CLAUDE",
        "authorized_official_title_or_position": "DENTIST/PRESIDENT",
        "authorized_official_telephone_number": "313-563-5855",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Garland, NP
• Sara H Garmel, MD
• April Garner, LLMSW
• Chadwick Garner, M.D.
• Stephanie Michelle Garnett, PA-C
• Irene Garza, LMSW
• Marayah Garza, LMSW
• Gastrofit PLLC
• Gateway Medical Center PLLC
• Victoria Gathogo

• General Practice Dentistry in Dearborn, MI
• Providers in Dearborn, 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 Feb 15, 2019; 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.