David Lee Dockham, DDS PC
Individual provider Active NPI General Practice Dentistry · Stanton, MI
NPI 1659440428 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1659440428
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 13734 (MI)
- Practice address
- 800 North State Rd
Stanton, MI 48888 - Phone
- (989) 831-9200
- NPI assigned
- Nov 7, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13734 | MI | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stanton Family Dental Care PLLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 13734 | MI | Yes |
Addresses
Primary practice location
800 North State Rd
Stanton, MI 48888
Mailing address
800 North State Rd
Stanton, MI 48888
Phone (989) 831-9200
Other providers in Stanton, MI
- Alyssa Elaine Dickinson
- Charity Ann Dillingham
- Carol Jean Dimet
- Maranda E Dittrich
- Steven C Dobyns
- Katherine Renee Dockham
- Shannon Doolittle
- Tanya Douglas
- Dr Heinlens Health Care Clinic PLLC
- David S Duffey
All providers in Stanton, MI · General Practice Dentistry in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.