West Bay Dental PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11981 Issued in MI

Legal business name

WEST BAY DENTAL PC

Practice address

401 S Euclid Ave
Bay City, MI 48706-3205

Phone

(989) 686-5410

Fax

(989) 686-7340

NPI assigned

Jan 9, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth E. Nelson, DDS

Title

Owner/Director

Phone

(989) 686-5410

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320710400000",
    "number": "1477531457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S EUCLID AVE",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487063205",
            "telephone_number": "989-686-5410",
            "fax_number": "989-686-7340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S EUCLID AVE",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487063205",
            "telephone_number": "989-686-5410",
            "fax_number": "989-686-7340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST BAY DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-09",
        "last_updated": "2011-11-08",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "989-686-5410",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "11981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCCI PROVIDER NUMBER",
            "identifier": "817452",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM PROVIDER NUMBER",
            "identifier": "800527",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paiton Kay Wenger
• Brittanry Ann Wenglikowski, BT
• Mallory Wenglikowski
• Sara Werner, PHARM.D.
• Erin Michelle Werth, MSW, LMSW
• West Bay Medical Center PLLC
• Lashya West-McClaine
• Gary R West, MALLP
• Whaley Residential Care Co
• Meghan Leah Whipple, NP

• General Practice Dentistry in Bay City, MI
• Providers in Bay City, 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 Nov 8, 2011; 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.