Dawn Marie Mann, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901018897 Issued in MI

Practice address

45420 Vandyke
Utica, MI 48317

Phone

(586) 997-9484

Fax

(586) 997-9645

NPI assigned

Aug 25, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• John M. Fredal, D.D.S P.C

  • General Practice Dentistry
  • Utica, MI
  • NPI 1700766516
  NPD (past)

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639287394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35701 MARINA DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483124144",
            "telephone_number": "586-805-0016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45420 VANDYKE",
            "city": "UTICA",
            "state": "MI",
            "postal_code": "48317",
            "telephone_number": "586-997-9484",
            "fax_number": "586-997-9645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANN",
        "first_name": "DAWN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901018897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Majestic Therapies LLC
• Sara Malewski, NP
• Malter Chiropractic Center, P.C.
• Timothy Michael Malter, DC
• Christopher John Manduzzi, DDS
• Martin F Guinta
• Mary Cassady PH.D. PLLC
• Stephanie Marie Maul, LLMSW
• Earl Bartholomew McDonald, LMSW
• Michael James McKenna, RPH

• General Practice Dentistry in Utica, MI
• Providers in Utica, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.