Organization Active NPI

Sonne Family Dental, P.C.

  • General Practice Dentistry
  • Trenton, MI
National Provider Identifier
1467684399
Registry record updated Nov 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901010486 Issued in MI
Legal business name
SONNE FAMILY DENTAL, P.C.
Practice address
1550 Kingsway CT
Trenton, MI 48183-1923
Phone
(734) 671-8414
Fax
(734) 671-8234
NPI assigned
Aug 11, 2009
Organization subpart
Yes
Parent organization
2901010486As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 2, 2016

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

Authorized official

Name
Ms. Kelly M Puskarich
Title
Business Asst.
Phone
(734) 671-8414

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 2901010486 MI Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 2901017885 MI
PeriodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0300X 2901019162 MI

Addresses

Primary practice location

1550 Kingsway CT
Trenton, MI 48183-1923

Mailing address

1550 Kingsway CT
Trenton, MI 48183-1923
Phone (734) 671-8414

National Provider Directory

National Provider Directory
Part of
Sonne Family Dental PC

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1249948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478044800000",
    "number": "1467684399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 KINGSWAY CT",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481831923",
            "telephone_number": "734-671-8414",
            "fax_number": "734-671-8234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 KINGSWAY CT",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481831923",
            "telephone_number": "734-671-8414",
            "fax_number": "734-671-8234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONNE FAMILY DENTAL, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "2901010486",
        "enumeration_date": "2009-08-11",
        "last_updated": "2016-11-02",
        "status": "A",
        "authorized_official_last_name": "PUSKARICH",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BUSINESS ASST.",
        "authorized_official_telephone_number": "734-671-8414",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901010486",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901017885",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "MI",
            "license": "2901019162",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; 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.