Organization Active NPI

Abc Family Dental LLC

  • Dentist
  • Flint, MI
National Provider Identifier
1639219280
Registry record updated Feb 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
13011 Issued in MI
Legal business name
ABC FAMILY DENTAL LLC
Practice address
2350 Stonebridge Dr
BLDG H
Flint, MI 48532-5406
Phone
(810) 230-9091
NPI assigned
Feb 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2011

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

Authorized official

Name
Kathy Ann Dinser
Title
Manager
Phone
(248) 477-5888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 13011 MI Primary

Addresses

Primary practice location

2350 Stonebridge Dr
BLDG H
Flint, MI 48532-5406

Mailing address

2350 Stonebridge Dr
BLDG H
Flint, MI 48532-5406
Phone (810) 230-9091

National Provider Directory

National Provider Directory

Locations

2350 Stonebridge Dr
Bldg H
Flint, MI 48532
Phone (810) 230-9091

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297728000000",
    "number": "1639219280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 STONEBRIDGE DR",
            "address_2": "BLDG H",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485325406",
            "telephone_number": "810-230-9091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 STONEBRIDGE DR",
            "address_2": "BLDG H",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485325406",
            "telephone_number": "810-230-9091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABC FAMILY DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2011-02-15",
        "status": "A",
        "authorized_official_last_name": "DINSER",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "248-477-5888"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "13011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2011; 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.