Active NPI
Lake Michigan Endodontics of Grand Haven PLLC
- Endodontics
- Grand Haven, MI
National Provider Identifier
1467195958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- Legal business name
- LAKE MICHIGAN ENDODONTICS OF GRAND HAVEN PLLC
- Practice address
- 921 S Beechtree St Ste 6a
Grand Haven, MI 49417-2385 - Phone
- (616) 935-7661
- Fax
- (616) 935-7664
- NPI assigned
- Apr 14, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jeffrey Norman Dzingle, DDS, MS
- Title
- Owner
- Phone
- (616) 935-7661
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | Primary |
Addresses
Primary practice location
921 S Beechtree St Ste 6a
Grand Haven, MI 49417-2385
Mailing address
921 S Beechtree St Ste 6a
Grand Haven, MI 49417-2385
Phone (616) 935-7661
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | frontdeskgh@lakemichiganendo.com | ||
| Direct Messaging Address | xray@lakemichiganendo.com |
National Provider Directory
National Provider DirectoryLocations
921 S Beechtree St
Ste 6A
Grand Haven, MI 49417
Phone (616) 935-7661
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Endodontics
- Saline, MI
- NPI 1730213000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649894400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1649894400000",
"number": "1467195958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "921 S BEECHTREE ST STE 6A",
"city": "GRAND HAVEN",
"state": "MI",
"postal_code": "494172385",
"telephone_number": "616-935-7661",
"fax_number": "616-935-7664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "921 S BEECHTREE ST STE 6A",
"city": "GRAND HAVEN",
"state": "MI",
"postal_code": "494172385",
"telephone_number": "616-935-7661",
"fax_number": "616-935-7664"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAKE MICHIGAN ENDODONTICS OF GRAND HAVEN PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-14",
"last_updated": "2022-04-14",
"certification_date": "2022-04-14",
"status": "A",
"authorized_official_last_name": "DZINGLE",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "NORMAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "616-935-7661",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS, MS"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Endodontics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "frontdeskgh@lakemichiganendo.com",
"affiliation": "N",
"address_1": "921 S Beechtree St Ste 6A",
"city": "Grand Haven",
"state": "MI",
"country_code": "US",
"postal_code": "494172385",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "xray@lakemichiganendo.com",
"affiliation": "N",
"address_1": "921 S Beechtree St Ste 6A",
"city": "Grand Haven",
"state": "MI",
"country_code": "US",
"postal_code": "494172385",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Grand Haven, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.