Organization Active NPI

Gladwin Dental Care, P.C.

  • General Practice Dentistry
  • Gladwin, MI
National Provider Identifier
1699975862
Registry record updated Jul 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901018865 Issued in MI
Legal business name
GLADWIN DENTAL CARE, P.C.
Practice address
135 S Bowery Ave
Gladwin, MI 48624-2013
Phone
(989) 426-6581
Fax
(989) 426-4831
NPI assigned
Jul 24, 2007
Last updated
Jul 24, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2007

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

Authorized official

Name
Dr. Charlotte Elizabeth Grant, D.D.S.
Title
Vice President
Phone
(989) 426-6581

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901018865 MI Primary

Addresses

Primary practice location

135 S Bowery Ave
Gladwin, MI 48624-2013

Mailing address

135 S Bowery Ave
Gladwin, MI 48624-2013
Phone (989) 426-6581

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185235200000",
    "number": "1699975862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 S BOWERY AVE",
            "city": "GLADWIN",
            "state": "MI",
            "postal_code": "486242013",
            "telephone_number": "989-426-6581",
            "fax_number": "989-426-4831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 S BOWERY AVE",
            "city": "GLADWIN",
            "state": "MI",
            "postal_code": "486242013",
            "telephone_number": "989-426-6581",
            "fax_number": "989-426-4831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLADWIN DENTAL CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2007-07-24",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "989-426-6581",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901018865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gladwin, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2007; 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.