Organization Active NPI

Cedar Point Family Dentistry

Doing business as Sanilac Family Dentistry

  • General Practice Dentistry
  • Sandusky, MI
National Provider Identifier
1437428448
Registry record updated Dec 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
17882 Issued in MI
Legal business name
CEDAR POINT FAMILY DENTISTRY
Doing business as
Sanilac Family Dentistry
Practice address
749 N Sandusky Rd
Sandusky, MI 48471-9143
Phone
(810) 648-3224
Fax
(866) 941-4892
NPI assigned
Dec 20, 2011
Last updated
Dec 20, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2011

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

Authorized official

Name
Mrs. Melinda Maschke
Title
Office Manager
Phone
(810) 648-3224

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 17882 MI Primary

Addresses

Primary practice location

749 N Sandusky Rd
Sandusky, MI 48471-9143

Mailing address

749 N Sandusky Rd
P.O. Box 126
Sandusky, MI 48471-9143
Phone (810) 648-3224

Other names 1

  • Sanilac Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

749 N Sandusky Rd
Sandusky, MI 48471
Phone (810) 648-3224

NPI Registry JSON

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

{
    "created_epoch": "1324339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324339200000",
    "number": "1437428448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "749 N SANDUSKY RD",
            "address_2": "P.O. BOX 126",
            "city": "SANDUSKY",
            "state": "MI",
            "postal_code": "484719143",
            "telephone_number": "810-648-3224",
            "fax_number": "866-941-4892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "749 N SANDUSKY RD",
            "city": "SANDUSKY",
            "state": "MI",
            "postal_code": "484719143",
            "telephone_number": "810-648-3224",
            "fax_number": "866-941-4892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR POINT FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-20",
        "last_updated": "2011-12-20",
        "status": "A",
        "authorized_official_last_name": "MASCHKE",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "810-648-3224",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "17882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sanilac Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sandusky, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.