Family Gentle Dentists

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11137 Issued in MI

Legal business name

FAMILY GENTLE DENTISTS

Practice address

23000 Telegraph Rd
Suite #3
Brownstown, MI 48134-9265

Phone

(734) 676-7122

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Deborah A. Gdula

Title

Office Manager

Phone

(734) 676-7122

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1689786014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23000 TELEGRAPH RD",
            "address_2": "SUITE #3",
            "city": "BROWNSTOWN",
            "state": "MI",
            "postal_code": "481349265",
            "telephone_number": "734-676-7122",
            "fax_number": "734-676-5326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23000 TELEGRAPH RD",
            "address_2": "SUITE #3",
            "city": "BROWNSTOWN",
            "state": "MI",
            "postal_code": "481349265",
            "telephone_number": "734-676-7122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY GENTLE DENTISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "GDULA",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "734-676-7122",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "11137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Brownstown, MI
• Providers in Brownstown, 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 Jun 20, 2008; 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.