Pierre J Tedders, DDS, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901017644 Issued in MI

Legal business name

PIERRE J TEDDERS, DDS, PC

Practice address

113 W Front St
Adrian, MI 49221-2072

Phone

(517) 263-3400

Fax

(517) 263-4027

NPI assigned

Sep 14, 2006

Organization subpart

No

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

Authorized official

Name

Darlene S Pruss

Title

Office Manager

Phone

(517) 263-3400

Specialties & licenses 1

Addresses

Practitioners 1

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

• Pierre J. Tedders, D.D.S.

  • General Practice Dentistry
  • Adrian, MI
  • NPI 1790950152
  NPD (past)

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467557413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 W FRONT ST",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492212072",
            "telephone_number": "517-263-3400",
            "fax_number": "517-263-4027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 W FRONT ST",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492212072",
            "telephone_number": "517-263-3400",
            "fax_number": "517-263-4027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIERRE J TEDDERS, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PRUSS",
        "authorized_official_first_name": "DARLENE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "517-263-3400"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901017644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Ruth Petty, BSW
• Jade Alexandra Pfund, PHARM.D., RPH
• Pharmacy Counter, LLC
• Deborah Phillips, OTR
• Phoenix Rising: Adrian Wellness Center
• Kathryn Mary Pifer
• Darrian Pitcher
• Kelsie Platschorre
• Kyle Stephen Plesha
• Derek Andrew Plitt

• General Practice Dentistry in Adrian, MI
• Providers in Adrian, 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 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.