Michigan Denture & Implant Center PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MICHIGAN DENTURE & IMPLANT CENTER PC

Practice address

22855 Kelly Rd
Eastpointe, MI 48021-2057

Phone

(586) 779-6777

Fax

(586) 779-0926

NPI assigned

May 20, 2008

Organization subpart

Yes

Parent organization

MICHIGAN DENTURE & IMPLANT CENTER PCAs reported in NPPES

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

Authorized official

Name

Larence J Vernier, D D S

Title

Owner

Phone

(586) 779-6777

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Michigan Denture Implant Center PC2 organizations share this tax ID, including this one

Part of

Michigan Denture Implant Center PC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Michigan Dentureand Implant Center

  • General Practice Dentistry
  • Redford, MI
  • NPI 1467662841
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Glenda G Peoples-Vernier, D.D.S.

  • General Practice Dentistry
  • Eastpointe, MI
  • NPI 1346259165
  NPD (past)

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1609033406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22855 KELLY RD",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480212057",
            "telephone_number": "586-779-6777",
            "fax_number": "586-779-0926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22855 KELLY RD",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480212057",
            "telephone_number": "586-779-6777",
            "fax_number": "586-779-0926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN DENTURE & IMPLANT CENTER PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MICHIGAN DENTURE & IMPLANT CENTER PC",
        "enumeration_date": "2008-05-20",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "VERNIER",
        "authorized_official_first_name": "LARENCE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-779-6777",
        "authorized_official_credential": "D D S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "800328",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Satish R Mehta, MD
• Karen Mary Meloche
• Jada Lynne Merritt
• Tesfamariam Okbay Metiku, M.D.
• Metro Medical Home Suppliers
• Michigan Orthopedic Services LLC
• Joseph Charles Mifsud, MA, LLP
• Millenium Pain Management & Therapy
• Adam Ryan Miller, D.C.
• Colleen Miller, NP

• General Practice Dentistry in Eastpointe, MI
• Providers in Eastpointe, 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 May 20, 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.