Organization Active NPI

Jeremy C. Dull DDS PC

  • General Practice Dentistry
  • Monroe, MI
National Provider Identifier
1699001644
Registry record updated Oct 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901017992 Issued in MI
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

Updated by the provider on Oct 27, 2009

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.