Organization Active NPI

Gulick & Gulick D.D.S., P.C.

  • Dentist
  • Mason, MI
National Provider Identifier
1538313366
Registry record updated Nov 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12796 Issued in MI
Legal business name
GULICK & GULICK D.D.S., P.C.
Practice address
1103 S Cedar St
Suite 100
Mason, MI 48854-2081
Phone
(517) 676-5900
Fax
(517) 676-5877
NPI assigned
Nov 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2008

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

Authorized official

Name
Daniel C Gulick, D.D.S.
Title
President/Owner
Phone
(517) 676-5900

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 12796 MI Primary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 12797 MI

Addresses

Primary practice location

1103 S Cedar St
Suite 100
Mason, MI 48854-2081

Mailing address

1103 S Cedar St
Suite 100
Mason, MI 48854-2081
Phone (517) 676-5900

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1225929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225929600000",
    "number": "1538313366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 S CEDAR ST",
            "address_2": "SUITE 100",
            "city": "MASON",
            "state": "MI",
            "postal_code": "488542081",
            "telephone_number": "517-676-5900",
            "fax_number": "517-676-5877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 S CEDAR ST",
            "address_2": "SUITE 100",
            "city": "MASON",
            "state": "MI",
            "postal_code": "488542081",
            "telephone_number": "517-676-5900",
            "fax_number": "517-676-5877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULICK & GULICK D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-06",
        "last_updated": "2008-11-06",
        "status": "A",
        "authorized_official_last_name": "GULICK",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "517-676-5900",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "12796",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "12797",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2008; 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.