Organization Active NPI

Flint Family Dentistry

  • Dental Clinic/Center
  • Flint, MI
National Provider Identifier
1669107819
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
FLINT FAMILY DENTISTRY
Doing business as
flint family dentistry
Practice address
G3023 Miller Rd
Flint, MI 48507-1353
Phone
(810) 720-0611
Fax
(810) 720-0613
NPI assigned
Jul 21, 2022
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Alireza Daneshvar, DDSNPI 1437406170
Title
Dentist
Phone
(810) 720-0611

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

G3023 Miller Rd
Flint, MI 48507-1353

Mailing address

G3023 Miller Rd
Flint, MI 48507-1353
Phone (810) 720-0611

Other names 1

  • flint family dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

G3023 Miller Rd
Flint, MI 48507
Phone (810) 720-0611

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1658361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1669107819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "G3023 MILLER RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485071353",
            "telephone_number": "810-720-0611",
            "fax_number": "810-720-0613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "G3023 MILLER RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485071353",
            "telephone_number": "810-720-0611",
            "fax_number": "810-720-0613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLINT FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-21",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DANESHVAR",
        "authorized_official_first_name": "ALIREZA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "810-720-0611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "flint family dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.