Brian Donlon, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901010511 Issued in MI

Practice address

44710 Van Dyke Ave
Utica, MI 48317-5482

Phone

(586) 739-0550

NPI assigned

Apr 18, 2007

Sex

Male

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Brian J Donlon D D S P C

  • Dentist
  • Utica, MI
  • NPI 1770701286
  NPD (past) Authorized official
• David M. Eberhard DDS PC

  • Dental Clinic/Center
  • Utica, MI
  • NPI 1124772330
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669698346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44710 VAN DYKE AVE",
            "city": "UTICA",
            "state": "MI",
            "postal_code": "483175482",
            "telephone_number": "586-739-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44710 VAN DYKE AVE",
            "city": "UTICA",
            "state": "MI",
            "postal_code": "483175482",
            "telephone_number": "586-739-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONLON",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901010511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Delicato, CPHT
• Eileen Elizabeth Denomme, C.P.M.
• Kerry Mashburn Devee, LLPC
• Dominique Mersadies Devine-Woodard, RN
• Aubrey Michelle Dewey, FNP-BC, NP-C
• Sarah Dove
• Ridge Downs
• Dr. Fenton and Associates PC
• David James Driest
• Marion Durisek, M. ED, L.P.C.

• All providers in Utica, MI
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.