GD Mi J&G-Brownstown PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GD MI J&G-BROWNSTOWN PLLC

Practice address

20820 Telegraph Rd
Brownstown, MI 48174-9319

Phone

(734) 479-4111

NPI assigned

Oct 7, 2022

Organization subpart

No

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

Authorized official

Name

Chad Hendricks

Title

Credentialing

Phone

(612) 859-0444

Specialties & licenses 1

Addresses

Other names 1

• Jaffe Dental Group 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.

• Jeffrey Arlen Jaffe, DDS

  • Dentist
  • Romulus, MI
  • NPI 1043305287
  NPD (past)
• Steven P Jaffe, DDS

  • Dentist
  • Romulus, MI
  • NPI 1659690659
  NPD (past)

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

{
    "created_epoch": "1665100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665100800000",
    "number": "1649995119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20820 TELEGRAPH RD",
            "city": "BROWNSTOWN",
            "state": "MI",
            "postal_code": "481749319",
            "telephone_number": "734-479-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20820 TELEGRAPH RD",
            "city": "BROWNSTOWN",
            "state": "MI",
            "postal_code": "481749319",
            "telephone_number": "734-479-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GD MI J&G-BROWNSTOWN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-07",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A",
        "authorized_official_last_name": "HENDRICKS",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "612-859-0444"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jaffe Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James Fioritto, MA, CCC-SLP
• Erica Foote
• Tara Frazer
• Jennifer Rebecca Frendo, RDH
• Shawn Gauvin, AG-ACNP
• Gentle Companions Home Health Care LLC
• Gibbs Cooks Counseling
• Ashley C Giles
• Jim Gilfix, MSW
• Gillani Group of Investments LLC

• General Practice Dentistry in Brownstown, MI
• Providers in Brownstown, 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 Oct 7, 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.