Washtenaw Dental, PLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

WASHTENAW DENTAL, PLC

Practice address

2100 Washtenaw Rd
Ypsilanti, MI 48197-1708

Phone

(734) 485-4600

Fax

(734) 485-4601

NPI assigned

Dec 3, 2016

Organization subpart

No

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

Authorized official

Name

Dennis Donoho

Title

Dentist

Phone

(734) 485-4600

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1480723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480723200000",
    "number": "1487197802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 WASHTENAW RD",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971708",
            "telephone_number": "734-485-4600",
            "fax_number": "734-485-4601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 WASHTENAW RD",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971708",
            "telephone_number": "734-485-4600",
            "fax_number": "734-485-4601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHTENAW DENTAL, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-03",
        "last_updated": "2016-12-03",
        "status": "A",
        "authorized_official_last_name": "DONOHO",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "734-485-4600"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Washtenaw County Community Partnership
• Washtenaw County CSTS
• Washtenaw County Government
• Washtenaw Dental Associates PC
• Washtenaw Dental-Adam Hassan DSS PLLC
• Washtenaw General Dentistry Associates
• Washtenaw Medicine
• Washtenaw Podiatry Group, LLC
• Horace James Watkins Jr.
• Patricia Watkins, RN

• Dentist in Ypsilanti, MI
• Providers in Ypsilanti, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.