NPIMap

Organization Active NPI

Restoration Dental

  • Dental Clinic/Center
  • Huntington Woods, MI
National Provider Identifier
1649919788
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
RESTORATION DENTAL
Practice address
26831 Woodward Ave
Huntington Woods, MI 48070-1362
Phone
(248) 399-1200
Fax
(248) 965-3292
NPI assigned
May 27, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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

Authorized official

Name
Dr. Matthew Lynn Gray, DDS
Title
Owner
Phone
(248) 399-1200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

26831 Woodward Ave
Huntington Woods, MI 48070-1362

Mailing address

26831 Woodward Ave
Huntington Woods, MI 48070-1362
Phone (248) 399-1200

National Provider Directory

National Provider Directory
Tax ID family
Restoration Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

26831 Woodward Ave
Huntington Woods, MI 48070
Phone (248) 399-1200

NPI Registry JSON

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

{
    "created_epoch": "1653609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689811200000",
    "number": "1649919788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26831 WOODWARD AVE",
            "city": "HUNTINGTON WOODS",
            "state": "MI",
            "postal_code": "480701362",
            "telephone_number": "248-399-1200",
            "fax_number": "248-965-3292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26831 WOODWARD AVE",
            "city": "HUNTINGTON WOODS",
            "state": "MI",
            "postal_code": "480701362",
            "telephone_number": "248-399-1200",
            "fax_number": "248-965-3292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATION DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-27",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-399-1200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Woods, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; 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.