Fenton Professionals LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

FENTON PROFESSIONALS LLC

Practice address

1398 N Leroy St
Fenton, MI 48430-2762

Phone

(810) 629-0601

NPI assigned

Dec 15, 2021

Last updated

Dec 15, 2021By 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

Mitch Weiland

Title

Assistant Controller

Phone

(608) 343-0818

Specialties & licenses 1

Addresses

Practitioners 2

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.

• James Michael Rachor, DDS

  • Dentist
  • Fenton, MI
  • NPI 1609914019
  NPD (past)
• Michelle Ann Sgalia, D.D.S.

  • Dentist
  • Fenton, MI
  • NPI 1629239447
  NPD (past)

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

{
    "created_epoch": "1639526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639526400000",
    "number": "1427717602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8025 EXCELSIOR DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537171900",
            "telephone_number": "608-343-0818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1398 N LEROY ST",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484302762",
            "telephone_number": "810-629-0601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FENTON PROFESSIONALS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-15",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A",
        "authorized_official_last_name": "WEILAND",
        "authorized_official_first_name": "MITCH",
        "authorized_official_title_or_position": "ASSISTANT CONTROLLER",
        "authorized_official_telephone_number": "608-343-0818"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fenton Pharmacy LLC (Fenton Pharmacy)
• Fenton Pharmacy LLC
• Fenton Pharmacy RX Mi LLC
• Fenton Pharmacy RX Mi LLC
• Fenton Physical Therapy, LLC (Fenton PT)
• Fenton Smiles PLLC
• Fenton Therapy Services LLC
• Fenton Vision Sensory and Learning Center PLLC
• Fenton Wellness (Jennifer Flack)
• Jessica Ferguson, M.ED, BCBA, LBA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.