Dental Specialist of Michigan PC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

DENTAL SPECIALIST OF MICHIGAN PC

Practice address

800 Kirts Blvd Ste 650
Troy, MI 48084-4878

Phone

(248) 842-3670

Fax

(586) 991-1933

NPI assigned

Dec 11, 2020

Organization subpart

No

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

Authorized official

Name

Brittany Chapman

Title

Credentialing Manager

Phone

(248) 842-3670

Specialties & licenses 1

Addresses

Other names 1

• Redwood Dental Group Doing business as

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

{
    "created_epoch": "1607644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712102400000",
    "number": "1457957656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 KIRTS BLVD STE 650",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480844850",
            "telephone_number": "248-842-3670",
            "fax_number": "586-991-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 KIRTS BLVD STE 650",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480844878",
            "telephone_number": "248-842-3670",
            "fax_number": "586-991-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL SPECIALIST OF MICHIGAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-11",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A",
        "authorized_official_last_name": "CHAPMAN",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "248-842-3670"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Redwood Dental Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Redwood Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aimee Dennis, NP, AGPCNP-BC
• Blaine Dennis
• Dental Associates II PC
• Dental Health and Wellness Center, PLLC
• Dental Professionals of Michigan, P.C.
• Dentists R US
• Dentists R US
• Bhuvneesh Singh Deol, RPH
• Nicholas Depietro
• Dequindre Physical Therapy & Rehab Service Inc.

• Orthodontics and Dentofacial Orthopedics Dentistry in Troy, MI
• Providers in Troy, MI by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.