Samantha Klipp DDS PLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SAMANTHA KLIPP DDS PLC

Practice address

526 N Monroe St
Monroe, MI 48162-2933

Phone

(734) 241-5254

Fax

(734) 241-1358

NPI assigned

Apr 6, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Vasanth Krishnaswami

Title

Office Manage

Phone

(734) 223-7586

Specialties & licenses 1

Addresses

Other names 1

• Lakeside Dental Care Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samantha Klipp, D.D.S.

  • Dentist
  • Monroe, MI
  • NPI 1790111052
  NPD
• Douglas Edwin Atwater, D.D.S.

  • General Practice Dentistry
  • Monroe, MI
  • NPI 1033292305
  NPD (past)

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

{
    "created_epoch": "1649203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649203200000",
    "number": "1629719232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "546 LARKSPUR ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481051163",
            "telephone_number": "734-277-7650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 N MONROE ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481622933",
            "telephone_number": "734-241-5254",
            "fax_number": "734-241-1358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMANTHA KLIPP DDS PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-06",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A",
        "authorized_official_last_name": "KRISHNASWAMI",
        "authorized_official_first_name": "VASANTH",
        "authorized_official_title_or_position": "OFFICE MANAGE",
        "authorized_official_telephone_number": "734-223-7586",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeside Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Mackenzie Salazar
• Alexander Megeed Saleh, LLMSW
• Muhammad Salman, MD
• Salvation Army Harbor Light
• Sandra Lynn Salyer
• Grace Sambiagio
• Thomas A Sandum, PA-C
• Kayla Jane Saneholtz, M.A., CCC-SLP
• Saqib Razaq, M.D.,P.C.
• Dominique Sarabia

• Dental Clinic/Center in Monroe, MI
• Providers in Monroe, MI by specialty
• Dental Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.