Restoration Family Dental,PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901017323 Issued in MI

Legal business name

RESTORATION FAMILY DENTAL,PLLC

Practice address

4750 Okemos Rd
Okemos, MI 48864-1637

Phone

(517) 574-5577

Fax

(517) 574-5523

NPI assigned

Apr 15, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Stephen A Phillips, DDSNPI 1831266865

Title

Dentist/Owner

Phone

(517) 574-5577

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.

• Stephen Adrian Phillips, DDS

  • Dentist
  • Okemos, MI
  • NPI 1831266865
  NPD (past) Authorized official

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

{
    "created_epoch": "1302825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302825600000",
    "number": "1457641052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4750 OKEMOS RD",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488641637",
            "telephone_number": "517-574-5577",
            "fax_number": "517-574-5523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4750 OKEMOS RD",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488641637",
            "telephone_number": "517-574-5577",
            "fax_number": "517-574-5523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATION FAMILY DENTAL,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-15",
        "last_updated": "2011-04-15",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "517-574-5577",
        "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": "2901017323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renovo Wound of Michigan PLLC
• Priya Renu
• Reprocess Therapy LLC
• Resilient Minds Counseling LLC
• Jessica Lynn Reslock, MS, OTR/L
• Restoration Home Care LLC
• Restorative Mind Counseling, LLC
• Sara L Reterstoff
• Returning to Center
• Chad Reust, HIS

• General Practice Dentistry in Okemos, MI
• Providers in Okemos, 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 Apr 15, 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.