Active NPI
Clarkston Family Dental
- General Practice Dentistry
- Clarkston, MI
National Provider Identifier
1497946636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 17279
- Legal business name
- CLARKSTON FAMILY DENTAL
- Practice address
- 6778 Bluegrass Dr
Clarkston, MI 48346-1400 - Phone
- (248) 625-2424
- NPI assigned
- Aug 5, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Foster, D.D.S.
- Title
- Owner
- Phone
- (248) 625-2424
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 17279 | MI | Primary |
Addresses
Primary practice location
6778 Bluegrass Dr
Clarkston, MI 48346-1400
Mailing address
6778 Bluegrass Dr
Clarkston, MI 48346-1400
National Provider Directory
National Provider DirectoryLocations
6778 Bluegrass Dr
Clarkston, MI 48346
Phone (248) 625-2424
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Clarkston, MI
- NPI 1639279151
-
- General Practice Dentistry
- Clarkston, MI
- NPI 1487573614
-
- General Practice Dentistry
- Clarkston, MI
- NPI 1932726841
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186272000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1186272000000",
"number": "1497946636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6778 BLUEGRASS DR",
"city": "CLARKSTON",
"state": "MI",
"postal_code": "483461400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6778 BLUEGRASS DR",
"city": "CLARKSTON",
"state": "MI",
"postal_code": "483461400",
"telephone_number": "248-625-2424"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLARKSTON FAMILY DENTAL",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-05",
"last_updated": "2007-08-05",
"status": "A",
"authorized_official_last_name": "FOSTER",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "248-625-2424",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "MI",
"license": "17279",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clarkston, MI
- Clarkston Chiropractic Clinic P.C.
- Clarkston Chiropractic Sports & Wellness LLC
- Clarkston Comfort Care
- Clarkston Dental Care
- Clarkston Dermatology & Vein Center PLLC
- Clarkston Family Therapists LLC
- Clarkston Health Center
- Clarkston Internal Medicine, P.C.
- Clarkston Lakes Family Medicine LLC
- Clarkston Medical Clinic PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.