NPIMap

Organization Active NPI

Superior Family Dental

  • General Practice Dentistry
  • Milford, MI
National Provider Identifier
1629675020
Registry record updated Oct 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SUPERIOR FAMILY DENTAL
Practice address
425 W Huron St Ste 140
Milford, MI 48381-2243
Phone
(248) 684-9555
Fax
(248) 684-9777
NPI assigned
Oct 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2020

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

Authorized official

Name
Dr. Jeffrey Boogren, DDSNPI 1417026287
Title
Dentist
Phone
(248) 684-9555

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

425 W Huron St Ste 140
Milford, MI 48381-2243

Mailing address

425 W Huron St Ste 140
Milford, MI 48381-2243
Phone (248) 684-9555

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL info@superiorfamilydental.com Direct

National Provider Directory

National Provider Directory

Locations

425 W Huron St
Ste 140
Milford, MI 48381
Phone (248) 684-9555

Practitioners & affiliated clinicians

Practitioners 2

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": "1602115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602115200000",
    "number": "1629675020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 W HURON ST STE 140",
            "city": "MILFORD",
            "state": "MI",
            "postal_code": "483812243",
            "telephone_number": "248-684-9555",
            "fax_number": "248-684-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 W HURON ST STE 140",
            "city": "MILFORD",
            "state": "MI",
            "postal_code": "483812243",
            "telephone_number": "248-684-9555",
            "fax_number": "248-684-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-08",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A",
        "authorized_official_last_name": "BOOGREN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "248-684-9555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "info@superiorfamilydental.com",
            "affiliation": "N",
            "endpointDescription": "office email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "425 W Huron St Ste 140",
            "city": "Milford",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483812243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Milford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.