Individual provider Active NPI

Erin Rene Sundt, DDS

  • General Practice Dentistry
  • Waterford Township, MI
National Provider Identifier
1487805073
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901020597 Issued in MI
Practice address
3485 Airport Rd # Mi48329
Waterford Township, MI 48329-3017
Phone
(248) 623-7722
NPI assigned
Oct 1, 2008
Last updated
Jul 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901020597 MI Primary

Addresses

Primary practice location

3485 Airport Rd # Mi48329
Waterford Township, MI 48329-3017

Mailing address

3485 Airport Rd # Mi48329
Waterford Township, MI 48329-3017
Phone (248) 623-7722

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150521000923 MI Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1951621507

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Erin Sundt DDS PLLC General Practice CurrentSince Apr 27, 2018 Accepting new patients
Dyches and Associates DDS, PC General Practice Past Accepting new patients

Locations

3485 Airport Rd
Waterford Township, MI 48329
Phone (248) 623-7722

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1222819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1487805073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3485 AIRPORT RD # MI48329",
            "city": "WATERFORD TOWNSHIP",
            "state": "MI",
            "postal_code": "483293017",
            "telephone_number": "248-623-7722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3485 AIRPORT RD # MI48329",
            "city": "WATERFORD TOWNSHIP",
            "state": "MI",
            "postal_code": "483293017",
            "telephone_number": "248-623-7722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNDT",
        "first_name": "ERIN",
        "middle_name": "RENE",
        "name_prefix": "Ms.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-01",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901020597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterford Township, MI

Sources for this page

Verify at the official NPI Registry.