Organization Active NPI

Contemporary Dentistry Center PLLC

  • Dental Clinic/Center
  • Canton, MI
National Provider Identifier
1639895170
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
CONTEMPORARY DENTISTRY CENTER PLLC
Practice address
1325 N Canton Center Rd
Canton, MI 48187-2950
Phone
(734) 455-0095
NPI assigned
Oct 17, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Authorized official

Name
Michael Cole
Title
VP Insurance Plan Management
Phone
(727) 424-2990

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1325 N Canton Center Rd
Canton, MI 48187-2950

Mailing address

1325 N Canton Center Rd
Canton, MI 48187-2950

Other practice location 1

1865 Coolidge Hwy
Berkley, MI 48072-3042
Phone (248) 398-5050

Other practice location 2

5211 Schaefer Rd
Dearborn, MI 48126-3229
Phone (313) 581-4884

Other practice location 3

604 Michigan Ave
East Lansing, MI 48823-4219
Phone (517) 332-8665

Other names 1

  • Dental Care Alliance Other name

National Provider Directory

National Provider Directory

Locations

1325 N Canton Center Rd
Canton, MI 48187
Phone (734) 415-9336

NPI Registry JSON

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

{
    "created_epoch": "1665964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721779200000",
    "number": "1639895170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 N CANTON CENTER RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481872950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 N CANTON CENTER RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481872950",
            "telephone_number": "734-455-0095"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1865 Coolidge Hwy",
            "address_purpose": "LOCATION",
            "city": "Berkley",
            "state": "MI",
            "postal_code": "480723042",
            "country_code": "US",
            "telephone_number": "248-398-5050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5211 Schaefer Rd",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "481263229",
            "country_code": "US",
            "telephone_number": "313-581-4884",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "604 Michigan Ave",
            "address_purpose": "LOCATION",
            "city": "East Lansing",
            "state": "MI",
            "postal_code": "488234219",
            "country_code": "US",
            "telephone_number": "517-332-8665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CONTEMPORARY DENTISTRY CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-17",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "VP INSURANCE PLAN MANAGEMENT",
        "authorized_official_telephone_number": "727-424-2990"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Care Alliance",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Dental Care Alliance",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Canton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; 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.