NPIMap

Organization Active NPI

Your Dental Connection D.D.S., P.C.

  • Dental Clinic/Center
  • Huntington Woods, MI
National Provider Identifier
1578299707
Registry record updated Jul 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
YOUR DENTAL CONNECTION D.D.S., P.C.
Practice address
26711 Woodward Ave Ste 100
Huntington Woods, MI 48070-1367
Phone
(248) 541-5161
NPI assigned
Jul 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2022

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

Authorized official

Name
Ronald Sudomir, DDSNPI 1598835399
Title
Owner
Phone
(248) 541-5161

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

26711 Woodward Ave Ste 100
Huntington Woods, MI 48070-1367

Mailing address

26711 Woodward Ave Ste 100
Huntington Woods, MI 48070-1367

National Provider Directory

National Provider Directory

Locations

26711 Woodward Ave
Ste 100
Huntington Woods, MI 48070
Phone (248) 541-5161

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": "1659052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659052800000",
    "number": "1578299707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26711 WOODWARD AVE STE 100",
            "city": "HUNTINGTON WOODS",
            "state": "MI",
            "postal_code": "480701367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26711 WOODWARD AVE STE 100",
            "city": "HUNTINGTON WOODS",
            "state": "MI",
            "postal_code": "480701367",
            "telephone_number": "248-541-5161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR DENTAL CONNECTION D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-29",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A",
        "authorized_official_last_name": "SUDOMIR",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-541-5161",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Woods, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; 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.