Pointe Family Dentistry

Primary specialty

DentistTaxonomy code 122300000X

License

BV0626397 Issued in MI

Legal business name

POINTE FAMILY DENTISTRY

Practice address

18342 Mack Ave
Grosse Pointe Farms, MI 48236-3219

Phone

(313) 886-9201

NPI assigned

Aug 27, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Paul S Van Walleghem, DDS

Title

Owner

Phone

(313) 886-9201

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• James W. Cox, DDS

  • General Practice Dentistry
  • Grosse Pointe Farms, MI
  • NPI 1053433052
  NPD (past)
• Patrick G Latcham, DDS

  • General Practice Dentistry
  • Grosse Pointe Farms, MI
  • NPI 1255453254
  NPD (past)
• Ruth D Mannschreck, DDS

  • General Practice Dentistry
  • Grosse Pointe Farms, MI
  • NPI 1801057351
  NPD (past)

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

{
    "created_epoch": "1251331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251331200000",
    "number": "1528291382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18342 MACK AVE",
            "city": "GROSSE POINTE FARMS",
            "state": "MI",
            "postal_code": "482363219",
            "telephone_number": "313-886-9201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18342 MACK AVE",
            "city": "GROSSE POINTE FARMS",
            "state": "MI",
            "postal_code": "482363219",
            "telephone_number": "313-886-9201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POINTE FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-27",
        "last_updated": "2009-08-27",
        "status": "A",
        "authorized_official_last_name": "VAN WALLEGHEM",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-886-9201",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "BV0626397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph M Pellerito Jr., PHD, OTRL
• Perry Drug Stores Inc and Subsidiaries
• Sarah Elizabeth Peterson, BA
• Platinum Psychological Services LLC
• Pointe Care Services, Inc.
• Samantha Powell, PT
• Brian J Powers, MA, LLP
• Michael Steven Prescott, M.D.
• Primal Healthcare Services, LLC
• Profesional Counseling PC

• Dentist in Grosse Pointe Farms, MI
• Providers in Grosse Pointe Farms, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2009; 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.