Active NPI
Pointe Fisher Dental
- General Practice Dentistry
- Grosse Pointe, MI
National Provider Identifier
1689106189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2901019538
- Legal business name
- POINTE FISHER DENTAL
- Practice address
- 383 Fisher Rd
Grosse Pointe, MI 48230-1674 - Phone
- (313) 882-1490
- NPI assigned
- Apr 3, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jennifer Holtzman, DDS
- Title
- Owner
- Phone
- (313) 882-1490
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2901019538 | MI | Primary |
Addresses
Primary practice location
383 Fisher Rd
Grosse Pointe, MI 48230-1674
Mailing address
383 Fisher Rd
Grosse Pointe, MI 48230-1674
Phone (313) 882-1490
National Provider Directory
National Provider DirectoryLocations
383 Fisher Rd
Grosse Pointe, MI 48230
Phone (313) 462-9641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491177600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1491177600000",
"number": "1689106189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "383 FISHER RD",
"city": "GROSSE POINTE",
"state": "MI",
"postal_code": "482301674",
"telephone_number": "313-882-1490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "383 FISHER RD",
"city": "GROSSE POINTE",
"state": "MI",
"postal_code": "482301674",
"telephone_number": "313-882-1490"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "POINTE FISHER DENTAL",
"organizational_subpart": "NO",
"enumeration_date": "2017-04-03",
"last_updated": "2017-04-03",
"status": "A",
"authorized_official_last_name": "HOLTZMAN",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "313-882-1490",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "MI",
"license": "2901019538",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grosse Pointe, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.