Michigan Institute of Advanced Dentistry P C

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

2901014867 Issued in MI

Legal business name

MICHIGAN INSTITUTE OF ADVANCED DENTISTRY P C

Practice address

1857 E West Maple Rd
Walled Lake, MI 48390-3821

Phone

(248) 960-4848

NPI assigned

Aug 20, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Bruce Edward Hulscher, DDSNPI 1376606269

Title

DDS , President

Phone

(248) 960-4848

Specialties & licenses 1

Addresses

Other names 1

• Bruce Hulscher DDS PC Doing business as

Locations

Practitioners 1

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

• Bruce Edward Hulscher, DDS

  • Dentist
  • Walled Lake, MI
  • NPI 1376606269
  NPD Authorized official

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

{
    "created_epoch": "1534723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598227200000",
    "number": "1528548419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1857 E WEST MAPLE RD",
            "city": "WALLED LAKE",
            "state": "MI",
            "postal_code": "483903821",
            "telephone_number": "248-960-4848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1857 E WEST MAPLE RD",
            "city": "WALLED LAKE",
            "state": "MI",
            "postal_code": "483903821",
            "telephone_number": "248-960-4848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN INSTITUTE OF ADVANCED DENTISTRY P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-20",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A",
        "authorized_official_last_name": "HULSCHER",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "DDS , PRESIDENT",
        "authorized_official_telephone_number": "248-960-4848",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MI",
            "license": "2901014867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bruce Hulscher DDS PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Abigail Louise Mermuys
• Megan Metcalf, OTR/L
• Erin Taylor Metz, M.S., CCC-SLP
• Michael P McNutt D.D.S., P.C.
• Julie Marie Micheli, PA C
• Midwest Medical Transportation, LLC.
• Blake Charles Mikesell, DDS
• Christie Y Miller, FNP
• Tyrone S Miller, O.D.
• Ronald Mishko II, D.D.S.

• Dental Clinic/Center in Walled Lake, MI
• Providers in Walled Lake, MI by specialty
• Dental Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.