Ccarl S Piontkowski, DD

Primary specialty

DentistTaxonomy code 122300000X

License

2901015640 Issued in MI

Practice address

42657 Garfield Rd Ste 214
Clinton Township, MI 48038-5023

Phone

(586) 263-5540

Fax

(586) 263-7057

NPI assigned

May 2, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Carl S. Piontkowski DDS Family & Cosmetic Dentistry PC

  • General Practice Dentistry
  • Clinton Township, MI
  • NPI 1063279024
  NPD
• Carl S Piontkowski DDS Family and Cosmetic Dentistry PC

  • Dentist
  • Clinton Township, MI
  • NPI 1740724863
  NPD (past)

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1609097765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42657 GARFIELD RD STE 214",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480385023",
            "telephone_number": "586-263-5540",
            "fax_number": "586-263-7057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42657 GARFIELD RD STE 214",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480385023",
            "telephone_number": "586-263-5540",
            "fax_number": "586-263-7057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIONTKOWSKI",
        "first_name": "CCARL",
        "middle_name": "S",
        "credential": "DD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "15640",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901015640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Anthony Pietrzak, LLC
• Dorothy Pilla, BA LBSW
• Shantel Pinchem
• Corinne Pinkos
• Stephanie L. Pinkus, B.A
• Mackenzie Pipp
• John George Pisan, MD
• Rebecca Ann Loechli Pisan, MD
• Brian Pitko
• Brian Joseph Pizzimenti, BSW,LBSW

• Dentist in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.