Pristine Dental Care

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

PRISTINE DENTAL CARE

Practice address

3021 E Walton Blvd
Auburn Hills, MI 48326-2368

Phone

(229) 740-3890

NPI assigned

Oct 21, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Derrick A Joseph, DDSNPI 1225552698

Title

Doctor

Phone

(229) 740-3890

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Derrick Antonio Joseph, DDS

  • Dentist
  • York, PA
  • NPI 1225552698
  NPD Authorized official

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603238400000",
    "number": "1437758398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4733 WOBURN DR",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483591767",
            "telephone_number": "229-740-3890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3021 E WALTON BLVD",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "483262368",
            "telephone_number": "229-740-3890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISTINE DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-21",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "229-740-3890",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jillian Clare Powers
• Mark John Pozdol, MPA LBSW
• Premier Transportation Service LLC
• Allen R Prince, D.O.,F.A.A.S.O.S.
• Matthew Richard Prince, D.O.
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• Conrad A Proctor, MD
• Professional Home Care Services
• Elizabeth Pugh
• Hollie Elizabeth Puskas

• Dentist in Auburn Hills, MI
• Providers in Auburn Hills, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.