Organization Active NPI

Seaway Dental Group PLLC

  • General Practice Dentistry
  • Port Huron, MI
National Provider Identifier
1518598069
Registry record updated Feb 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SEAWAY DENTAL GROUP PLLC
Practice address
2435 Military St BLDG 4
Port Huron, MI 48060-6664
Phone
(810) 982-5334
NPI assigned
Feb 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2020

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

Authorized official

Name
Dr. Chester Guass, DDS
Title
Dentist
Phone
(810) 982-5334

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2435 Military St BLDG 4
Port Huron, MI 48060-6664

Mailing address

2435 Military St BLDG 4
Port Huron, MI 48060-6664
Phone (810) 982-5334

National Provider Directory

National Provider Directory

Locations

2435 Military St
Bldg 4
Port Huron, MI 48060
Phone (810) 982-5334

NPI Registry JSON

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

{
    "created_epoch": "1580688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580688000000",
    "number": "1518598069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2435 MILITARY ST BLDG 4",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480606664",
            "telephone_number": "810-982-5334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2435 MILITARY ST BLDG 4",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480606664",
            "telephone_number": "810-982-5334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEAWAY DENTAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-03",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A",
        "authorized_official_last_name": "GUASS",
        "authorized_official_first_name": "CHESTER",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "810-982-5334",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Huron, MI

Sources for this page

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