S J Poniatowski DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

S J PONIATOWSKI DDS

Practice address

10326 West Warren Ave
Dearborn, MI 48126-1659

Phone

(313) 581-0710

Fax

(313) 581-0711

NPI assigned

Nov 3, 2006

Organization subpart

No

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

Authorized official

Name

Carolyn A Kuhowski

Title

Office Manager

Phone

(313) 581-0710

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609955269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10326 WEST WARREN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261659",
            "telephone_number": "313-581-0710",
            "fax_number": "313-581-0711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10326 WEST WARREN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261659",
            "telephone_number": "313-581-0710",
            "fax_number": "313-581-0711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S J PONIATOWSKI DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KUHOWSKI",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "313-581-0710"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Dearborn, MI
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• General Practice Dentistry in Michigan

• 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.