Organization Active NPI

Grand Blanc Dental Center P.C.

  • General Practice Dentistry
  • Grand Blanc, MI
National Provider Identifier
1699808576
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901009015 Issued in MI
Legal business name
GRAND BLANC DENTAL CENTER P.C.
Practice address
9499 Holly Rd
Grand Blanc, MI 48439-8351
Phone
(810) 694-7450
Fax
(810) 695-8222
NPI assigned
Mar 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Carl Irving Schwartz, DDS
Title
Owner
Phone
(810) 694-7450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 2901009015 MI Primary

Addresses

Primary practice location

9499 Holly Rd
Grand Blanc, MI 48439-8351

Mailing address

9499 Holly Rd
Grand Blanc, MI 48439-8351
Phone (810) 694-7450

Other names 1

  • Convenient Family Dentistry P.C. Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699808576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9499 HOLLY RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484398351",
            "telephone_number": "810-694-7450",
            "fax_number": "810-695-8222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9499 HOLLY RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484398351",
            "telephone_number": "810-694-7450",
            "fax_number": "810-695-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND BLANC DENTAL CENTER P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "IRVING",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-694-7450",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901009015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Convenient Family Dentistry P.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Blanc, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.