My Family Dental Taylor, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22218 Issued in MI

Legal business name

MY FAMILY DENTAL TAYLOR, PLLC

Doing business as

My Family Dental Taylor, PLLC

Practice address

9310 Telegraph Rd
Taylor, MI 48180-3362

Phone

(313) 295-2600

Fax

(313) 295-7927

NPI assigned

Aug 27, 2018

Last updated

Aug 27, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Pamela Childress

Title

Office Staff Member

Phone

(313) 295-2600

Specialties & licenses 1

Addresses

Other names 1

• MY FAMILY DENTAL TAYLOR, PLLC Doing business as

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

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535328000000",
    "number": "1659852614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9310 TELEGRAPH RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481803362",
            "telephone_number": "313-295-2600",
            "fax_number": "313-295-7927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9310 TELEGRAPH RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481803362",
            "telephone_number": "313-295-2600",
            "fax_number": "313-295-7927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY FAMILY DENTAL TAYLOR, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-27",
        "last_updated": "2018-08-27",
        "status": "A",
        "authorized_official_last_name": "CHILDRESS",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "OFFICE STAFF MEMBER",
        "authorized_official_telephone_number": "313-295-2600"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "22218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MY FAMILY DENTAL TAYLOR, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Taylor, MI
• Providers in Taylor, 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 Aug 27, 2018; 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.