Alex T. Hoelzel, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ALEX T. HOELZEL, PLLC

Doing business as

Lake Odessa Dental Associates

Practice address

1032 4TH Ave
Lake Odessa, MI 48849-1004

Phone

(616) 374-8828

NPI assigned

Dec 10, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Alexander T Hoelzel, DDSNPI 1528419256

Title

Dentist

Phone

(734) 536-2417

Specialties & licenses 1

Addresses

Other names 1

• Lake Odessa Dental Associates Doing business as

Practitioners 1

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

• Alexander Thomas Hoelzel, DDS

  • Dentist
  • Wayland, MI
  • NPI 1528419256
  NPD Authorized official

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

{
    "created_epoch": "1607558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607558400000",
    "number": "1578169868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 PIONEER CLUB RD SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495062032",
            "telephone_number": "734-536-2417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1032 4TH AVE",
            "city": "LAKE ODESSA",
            "state": "MI",
            "postal_code": "488491004",
            "telephone_number": "616-374-8828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEX T. HOELZEL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-10",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-04",
        "status": "A",
        "authorized_official_last_name": "HOELZEL",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "734-536-2417",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Odessa Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Jonathan Alvaro
• Clarence Richard Barnett, M.D.
• Patti Jo Beglin
• Laurie S Braker, MD
• Brian W Swanton MD PC

• Dental Clinic/Center in Lake Odessa, MI
• Providers in Lake Odessa, 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 Dec 10, 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.