Organization Active NPI

The Dental Depot Christopher W Ford DDS

  • General Practice Dentistry
  • Flint, MI
National Provider Identifier
1457327942
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D012116 Issued in MI
Legal business name
THE DENTAL DEPOT CHRISTOPHER W FORD DDS
Practice address
3362 Lennon Rd
Flint, MI 48507-1015
Phone
(810) 732-4740
Fax
(810) 732-4822
NPI assigned
Feb 24, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Terri Lee Jones
Title
Insurance Coordinator
Phone
(810) 732-4740

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D012116 MI Primary

Addresses

Primary practice location

3362 Lennon Rd
Flint, MI 48507-1015

Mailing address

3362 Lennon Rd
Flint, MI 48507-1015
Phone (810) 732-4740

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457327942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3362 LENNON RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485071015",
            "telephone_number": "810-732-4740",
            "fax_number": "810-732-4822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3362 LENNON RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485071015",
            "telephone_number": "810-732-4740",
            "fax_number": "810-732-4822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DENTAL DEPOT CHRISTOPHER W FORD DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "TERRI",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "810-732-4740",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "D012116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • 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.