Mid Michigan General Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901018615 Issued in MI

Legal business name

MID MICHIGAN GENERAL DENTISTRY

Practice address

400 S Nelson St
Suite B
Potterville, MI 48876-8774

Phone

(517) 645-9980

Fax

(517) 645-9981

NPI assigned

Jul 25, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Kristin Mau, DDS

Title

Partner

Phone

(517) 645-9980

Specialties & licenses 1

Addresses

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Mid Michigan Gentle Dental

  • Dental Clinic/Center
  • Charlotte, MI
  • NPI 1558971408
  NPPES parent name

Practitioners 1

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

• Benjamin Ross Morris, DDS

  • General Practice Dentistry
  • Commerce Township, MI
  • NPI 1326568072
  NPD (past)

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437172491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S NELSON ST",
            "address_2": "SUITE B",
            "city": "POTTERVILLE",
            "state": "MI",
            "postal_code": "488768774",
            "telephone_number": "517-645-9980",
            "fax_number": "517-645-9981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S NELSON ST",
            "address_2": "SUITE B",
            "city": "POTTERVILLE",
            "state": "MI",
            "postal_code": "488768774",
            "telephone_number": "517-645-9980",
            "fax_number": "517-645-9981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID MICHIGAN GENERAL DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAU",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "517-645-9980",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901018615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Healing Hands 4U2 Home Care LLC
• Jessica Rosenbrook Counseling Services LLC
• Richard Laurence Lezell, D.D.S.
• Kristin Mau
• Elizabeth Marie McDowell, NP-C
• Marissa Anne Miller, D.O.
• Hannah Myers-Southerly
• Kristine Kay Peterson, P.T.A
• Potterville Benton Township Fire
• Melissa M Ridge, LLPC

• General Practice Dentistry in Potterville, MI
• Providers in Potterville, 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 Aug 22, 2020; 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.