Organization Active NPI

Jean E Driscoll DDS Ms PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Lapeer, MI
National Provider Identifier
1609934041
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
JEAN E DRISCOLL DDS MS PC
Practice address
793 S Main St
Suite C
Lapeer, MI 48446-3094
Phone
(810) 667-7591
Fax
(810) 667-7594
NPI assigned
Dec 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jean E Driscoll, DDS MSNPI 1629192364
Title
President
Phone
(810) 667-7581

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
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

793 S Main St
Suite C
Lapeer, MI 48446-3094

Mailing address

793 S Main St
Suite C
Lapeer, MI 48446-3094
Phone (810) 667-7591

Other names 1

  • Jean Driscoll Gilliland DDS MS PC Former legal business name

National Provider Directory

National Provider Directory

Locations

793 S Main St
Ste C
Lapeer, MI 48446
Phone (810) 667-7591

Practitioners & affiliated clinicians

Practitioners 1

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": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609934041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "793 S MAIN ST",
            "address_2": "SUITE C",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484463094",
            "telephone_number": "810-667-7591",
            "fax_number": "810-667-7594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "793 S MAIN ST",
            "address_2": "SUITE C",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484463094",
            "telephone_number": "810-667-7591",
            "fax_number": "810-667-7594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEAN E DRISCOLL DDS MS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DRISCOLL",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-667-7581",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jean Driscoll Gilliland DDS MS PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Lapeer, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.