Colleen Bess Delacy, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901018603 Issued in MI

Practice address

30 Dawson St
Box 231
Sandusky, MI 48471-1032

Phone

(810) 648-4740

Fax

(840) 648-4796

NPI assigned

Jul 14, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sandusky Dental Care, PLC

  dba Sandsuky Dental Care

  • General Practice Dentistry
  • Sandusky, MI
  • NPI 1093910077
  NPD (past)

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427074152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3990 BEDFORD RD",
            "city": "FORT GRATIOT",
            "state": "MI",
            "postal_code": "480594004",
            "telephone_number": "810-966-0611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 DAWSON ST",
            "address_2": "BOX 231",
            "city": "SANDUSKY",
            "state": "MI",
            "postal_code": "484711032",
            "telephone_number": "810-648-4740",
            "fax_number": "840-648-4796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELACY",
        "first_name": "COLLEEN",
        "middle_name": "BESS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901018603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leann Daniels, RN
• Christina Davenport
• Roger Dean, PH.D
• Sandra Dean
• Maria Deer
• Jillian K Delie-Volpe
• Kevin Dieckmann, PHARMD.
• James Dimon
• Sandra Kay Doerr
• Alfredo Canlas Domingo, M.D.

• General Practice Dentistry in Sandusky, MI
• Providers in Sandusky, 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 Jul 8, 2007; 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.