Grosse Pointe Family Dentistry Macomb

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

13571 Issued in MI

Legal business name

GROSSE POINTE FAMILY DENTISTRY MACOMB

Practice address

46401 Romeo Plank Rd
Suite 2
Macomb, MI 48044-3510

Phone

(586) 286-7337

Fax

(586) 286-9974

NPI assigned

Feb 3, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Chris C Panagos, DDS

Title

Resident Agent

Phone

(586) 286-7337

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.

• Gerald J. Garner, DDS

  • General Practice Dentistry
  • Macomb, MI
  • NPI 1396845418
  NPD (past)

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

{
    "created_epoch": "1422921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422921600000",
    "number": "1447640040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46401 ROMEO PLANK RD",
            "address_2": "SUITE 2",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480443510",
            "telephone_number": "586-286-7337",
            "fax_number": "586-286-9974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46401 ROMEO PLANK RD",
            "address_2": "SUITE 2",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480443510",
            "telephone_number": "586-286-7337",
            "fax_number": "586-286-9974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROSSE POINTE FAMILY DENTISTRY MACOMB",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-03",
        "last_updated": "2015-02-03",
        "status": "A",
        "authorized_official_last_name": "PANAGOS",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "RESIDENT AGENT",
        "authorized_official_telephone_number": "586-286-7337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "13571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Glenda Gucor-Vergara, R.P.T.
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• General Practice Dentistry in Macomb, MI
• Providers in Macomb, 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 Feb 3, 2015; 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.