Canton Center Dental PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

2901020144 Issued in MI

Legal business name

CANTON CENTER DENTAL PLLC

Practice address

401 N. Canton Ctr. Rd. Ste. #3
Canton, MI 48187-5096

Phone

(734) 217-4370

NPI assigned

Jan 9, 2014

Last updated

Jan 9, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Steven Lawrence Fletcher, DDS

Title

President

Phone

(734) 217-4370

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1389225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389225600000",
    "number": "1598187668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 N. CANTON CENTER ROAD SUITE #3",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481875096",
            "telephone_number": "734-217-4370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N. CANTON CTR. RD. STE. #3",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481875096",
            "telephone_number": "734-217-4370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANTON CENTER DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-09",
        "last_updated": "2014-01-09",
        "status": "A",
        "authorized_official_last_name": "FLETCHER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-217-4370",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901020144",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901017652",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1811954415",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NNPES",
            "identifier": "19526324547",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Canton Ardent (Hometown Dental)
• Canton ASC LLC
• Canton Asthma & Allergy PC
• Canton BCC LLC
• Canton BCC LLC (Blossom Children's Center- Canton)
• Canton Center Pediatrics (Baqir Malik MD)
• Canton Center Pharmacy LLC
• Canton Chiropractic Life Center
• Canton Dental PLLC
• Canton Dermatology, P.C.

• Dentist in Canton, MI
• Providers in Canton, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2014; 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.