Active NPI
Jeremy C. Dull DDS PC
- General Practice Dentistry
- Monroe, MI
National Provider Identifier
1699001644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2901017992
- Legal business name
- JEREMY C. DULL DDS PC
- Doing business as
- Monroe Family Dentistry
- Practice address
- 876 Stewart Rd.
Suite D
Monroe, MI 48162 - Phone
- (734) 241-6550
- Fax
- (734) 241-0824
- NPI assigned
- Oct 27, 2009
- 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. Jeremy Christopher Dull, D.D.S.
- Title
- Dentist/Owner
- Phone
- (734) 241-6550
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2901017992 | MI | Primary |
Addresses
Primary practice location
876 Stewart Rd.
Suite D
Monroe, MI 48162
Mailing address
876 Stewart Rd.
Suite D
Monroe, MI 48162
Phone (734) 241-6550
Other names 1
- Monroe Family Dentistry
National Provider Directory
National Provider DirectoryLocations
876 Stewart Rd
Ste D
Monroe, MI 48162
Phone (313) 241-0560
Practitioners & affiliated clinicians
Practitioners 1
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": "1256601600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1256601600000",
"number": "1699001644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "876 STEWART RD.",
"address_2": "SUITE D",
"city": "MONROE",
"state": "MI",
"postal_code": "48162",
"telephone_number": "734-241-6550",
"fax_number": "734-241-0824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "876 STEWART RD.",
"address_2": "SUITE D",
"city": "MONROE",
"state": "MI",
"postal_code": "48162",
"telephone_number": "734-241-6550",
"fax_number": "734-241-0824"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEREMY C. DULL DDS PC",
"organizational_subpart": "NO",
"enumeration_date": "2009-10-27",
"last_updated": "2009-10-27",
"status": "A",
"authorized_official_last_name": "DULL",
"authorized_official_first_name": "JEREMY",
"authorized_official_middle_name": "CHRISTOPHER",
"authorized_official_title_or_position": "DENTIST/OWNER",
"authorized_official_telephone_number": "734-241-6550",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "MI",
"license": "2901017992",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Monroe Family Dentistry",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Monroe, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.