Meadowbrook Family Dentists PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MEADOWBROOK FAMILY DENTISTS PC

Practice address

5127 Rochester Rd
Troy, MI 48085

Phone

(248) 528-1611

Fax

(248) 528-0245

NPI assigned

Nov 7, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Gary J Clague, DDSNPI 1225107618

Title

President

Phone

(248) 528-1611

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

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

• Gary Jonathan Clague, DDS

  • General Practice Dentistry
  • Troy, MI
  • NPI 1225107618
  NPD (past) Authorized official
• Harold Steven Zald, DDS

  • General Practice Dentistry
  • Troy, MI
  • NPI 1164591558
  NPD (past)

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487723870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5127 ROCHESTER RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "48085",
            "telephone_number": "248-528-1611",
            "fax_number": "248-528-0245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5127 ROCHESTER RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "48085",
            "telephone_number": "248-528-1611",
            "fax_number": "248-528-0245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADOWBROOK FAMILY DENTISTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLAGUE",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-528-1611",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MI",
            "identifier": "D800187",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• MCTS Rose, LLC
• Suzanne Mary McWhorter, OTR
• Mdvip of Troy LLC
• Alexandrea Mead
• Maeghan Mead, CCC-SLP
• Meahealth PLC
• Erin Michelle Mecsey, PA-C
• Med Index Pharmacy LLC
• Medalliance Urgent Care, PLLC.
• Joseph Lee Medellin, M.D.

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