Matthew C Valassis, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901601868 Issued in MI

Practice address

714 Abbot Road
East Lansing, MI 48823

Phone

(517) 337-0351

Fax

(517) 337-5610

NPI assigned

Aug 1, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tiggy Lazer, PLLC Dba East Lansing Family Dentistry

  • Dental Clinic/Center
  • East Lansing, MI
  • NPI 1942087127
  NPD Authorized official
• Craig a. Fedore,D.D.S., P.C.

  • General Practice Dentistry
  • East Lansing, MI
  • NPI 1972583334
  NPD (past)

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

{
    "created_epoch": "1690848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1487336335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 ABBOT ROAD",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "48823",
            "telephone_number": "517-337-0351",
            "fax_number": "517-337-5610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 ABBOT ROAD",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "48823",
            "telephone_number": "517-337-0351",
            "fax_number": "517-337-5610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALASSIS",
        "first_name": "MATTHEW",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-01",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901601868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• University Compounding Center LLC
• Sophia Updyke
• Upper Great Lakes Family Health Center
• Usv Optical Inc.
• Uwh of Michigan PLC
• Nichol Valdez, LPC
• Erika Janelle Vallie, PT, DPT
• Monica Van Acker, D.O.
• Victoria Jane Van Dyke, AU.D, CCC-A
• Van-Anh Tran Peters,DDS,PC

• General Practice Dentistry in East Lansing, MI
• Providers in East Lansing, 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 1, 2023; 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.