Seniorcare Mobile Dentistry

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2901013471 Issued in MI

Legal business name

SENIORCARE MOBILE DENTISTRY

Practice address

22540 Harper Ave
Saint Clair Shores, MI 48080-2941

Phone

(586) 445-1802

NPI assigned

Mar 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Thomas William Jerger, D.D.S.NPI 1033298021

Title

President

Phone

(586) 445-2320

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Thomas William Jerger, D.D.S.

  • General Practice Dentistry
  • St Clair SHRS, MI
  • NPI 1033298021
  NPD (past) Authorized official

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457476053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22540 HARPER AVE",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480802941",
            "telephone_number": "586-445-1802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22540 HARPER AVE",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480802941",
            "telephone_number": "586-445-1802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIORCARE MOBILE DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JERGER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-445-2320",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MI",
            "license": "2901013471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4068883",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Thomas Seago, D.D.S.
• Kristina Marie Seago, D.M.D.
• Lauren Seeley
• Self Preservation Through Recovery Independence Transformation Guidanc
• Sydney Sell
• Sensory Systems Clinic PC
• Delaney Serra, DOT, MOTRL
• Anthony Sesto, O.D.
• Seton Health Corporation of Southeastern Michigan
• Andrew Bennett Sewell, M.D.

• Skilled Nursing Facility in Saint Clair Shores, MI
• Providers in Saint Clair Shores, MI by specialty
• Skilled Nursing Facility 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.