Monroeperiodontics PLLC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

MONROEPERIODONTICS PLLC

Practice address

120 Cole Rd
Monroe, MI 48162

Phone

(734) 682-5411

Fax

(734) 682-5448

NPI assigned

Jun 9, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Brian W Salesin, DDS

Title

Periodontits

Phone

(734) 682-5411

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Laxmi Sukhtankar

  • Periodontics
  • New Boston, MI
  • NPI 1093368821
  NPD (past)

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

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402272000000",
    "number": "1700299633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 COLE RD",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481624104",
            "telephone_number": "734-682-5411",
            "fax_number": "734-682-5448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 COLE RD",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "48162",
            "telephone_number": "734-682-5411",
            "fax_number": "734-682-5448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONROEPERIODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-09",
        "last_updated": "2014-06-09",
        "status": "A",
        "authorized_official_last_name": "SALESIN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PERIODONTITS",
        "authorized_official_telephone_number": "734-682-5411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monroe Urgent Care Inc
• Monroe Urology Associates PLLC
• Monroe Vision Source, PLC (Donahue Eyecare)
• Monroe Wellness Center LLC
• Linda P Monroe, LMSW
• Monroerehabconnection LLC
• Brittany Moomaw, LLMSW
• Cynthia Ann Moore, LPN
• Jacob Moore, RN
• John R Moore, APRN. CNP

• Periodontics in Monroe, MI
• Providers in Monroe, MI by specialty
• Periodontics in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2014; 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.