Stuart L Davidson D D S P C

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901007790 Issued in MI

Legal business name

STUART L DAVIDSON D D S P C

Practice address

11270 E 13 Mile Rd
Suite 3a
Warren, MI 48093-2599

Phone

(586) 573-0030

Fax

(586) 573-0072

NPI assigned

May 7, 2008

Organization subpart

No

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

Authorized official

Name

Stuart L Davidson, D D S

Title

Owner

Phone

(586) 573-0030

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214870400000",
    "number": "1568638609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11270 E 13 MILE RD",
            "address_2": "SUITE 3A",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480932599",
            "telephone_number": "586-573-0030",
            "fax_number": "586-573-0072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11270 E 13 MILE RD",
            "address_2": "SUITE 3A",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480932599",
            "telephone_number": "586-573-0030",
            "fax_number": "586-573-0072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUART L DAVIDSON D D S P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-07",
        "last_updated": "2008-07-01",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-573-0030",
        "authorized_official_credential": "D D S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901007790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Strickland
• Elizabeth Stringer
• Dade Arthur Sidney Stromwall, AG-ACNP
• Strong Sisters Survive It All (Strong Sisters Community Care)
• Breann Strong
• Aishah Stubbs
• Angel Studvent
• Raymond L Stull
• Banumathy Subramanian, MD
• Hannah Marie Suciu, OTR/L

• General Practice Dentistry in Warren, MI
• Providers in Warren, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.