Laurich Dentistry Farmington

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901020757 Issued in MI

Legal business name

LAURICH DENTISTRY FARMINGTON

Practice address

31700 W 12 Mile Rd Ste 103
Farmington Hills, MI 48334-4460

Phone

(248) 553-0110

Fax

(248) 573-0233

NPI assigned

Dec 20, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Charles Laurich, DDS

Title

Owner/Provider

Phone

(248) 553-0110

Specialties & licenses 1

Addresses

Other names 1

• Laurich Dentistry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sabah Lillian Gagnon, DDS

  • Dentist
  • Farmington Hills, MI
  • NPI 1982087953
  NPD (past)

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

{
    "created_epoch": "1482192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619481600000",
    "number": "1689119190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30620 W 12 MILE RD",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343808",
            "telephone_number": "248-553-0110",
            "fax_number": "248-573-0233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31700 W 12 MILE RD STE 103",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483344460",
            "telephone_number": "248-553-0110",
            "fax_number": "248-573-0233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURICH DENTISTRY FARMINGTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-20",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A",
        "authorized_official_last_name": "LAURICH",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "248-553-0110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901020757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laurich Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Laurich Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Farmington Hills, MI
• Providers in Farmington Hills, 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 Apr 27, 2021; 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.