Churchgrove Dental Associates

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CHURCHGROVE DENTAL ASSOCIATES

Practice address

123 Churchgrove Rd
Frankenmuth, MI 48734-1029

Phone

(989) 652-6271

Fax

(989) 652-2501

NPI assigned

Aug 11, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Kenneth M Groves, DDSNPI 1821156506

Title

Owner

Phone

(989) 652-6271

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Kenneth Merritt Groves, D.D.S.

  • Dentist
  • Frankenmuth, MI
  • NPI 1821156506
  NPD Authorized official
• Daniel Durance, DDS

  • Dentist
  • Frankenmuth, MI
  • NPI 1508386202
  NPD (past)

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

{
    "created_epoch": "1597104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597104000000",
    "number": "1467063719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 CHURCHGROVE RD",
            "city": "FRANKENMUTH",
            "state": "MI",
            "postal_code": "487341029",
            "telephone_number": "989-652-6271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 CHURCHGROVE RD",
            "city": "FRANKENMUTH",
            "state": "MI",
            "postal_code": "487341029",
            "telephone_number": "989-652-6271",
            "fax_number": "989-652-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHURCHGROVE DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-11",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A",
        "authorized_official_last_name": "GROVES",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-652-6271",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lowell Butman, M.D
• Michael Butman, M.D
• Care for Better Life Inc
• Robert L. Chadwick, D.O.
• Carol Champagne
• Cobblers Bench of Frankenmuth LLC
• Stacie Cole
• Compassionate Care Rehab Services LLC
• Tracy Crandall
• Michelle Ann Crang, LLP

• General Practice Dentistry in Frankenmuth, MI
• Providers in Frankenmuth, 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 Aug 11, 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.