NPIMap

Organization Active NPI

Village Family Dental PLLC

  • Dental Clinic/Center
  • Clinton, MI
National Provider Identifier
1689444622
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
VILLAGE FAMILY DENTAL PLLC
Practice address
1671 West US Hwy 12
Suite B
Clinton, MI 49236
Phone
(517) 456-9972
Fax
(517) 456-9973
NPI assigned
Jan 2, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Authorized official

Name
Helin Jacksi, DDSNPI 1154930105
Title
Owner
Phone
(734) 489-3974

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 Primary

Addresses

Primary practice location

1671 West US Hwy 12
Suite B
Clinton, MI 49236

Mailing address

1671 West US Hwy 12
Suite B
Clinton, MI 49236
Phone (517) 456-9972

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1704153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704153600000",
    "number": "1689444622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1671 WEST US HWY 12",
            "address_2": "SUITE B",
            "city": "CLINTON",
            "state": "MI",
            "postal_code": "49236",
            "telephone_number": "517-456-9972",
            "fax_number": "517-456-9973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1671 WEST US HWY 12",
            "address_2": "SUITE B",
            "city": "CLINTON",
            "state": "MI",
            "postal_code": "49236",
            "telephone_number": "517-456-9972",
            "fax_number": "517-456-9973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE FAMILY DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-02",
        "last_updated": "2024-01-02",
        "certification_date": "2023-12-28",
        "status": "A",
        "authorized_official_last_name": "JACKSI",
        "authorized_official_first_name": "HELIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-489-3974",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; 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.