Active NPI
Contemporary Family Dentistry
- Dentist
- Grosse Pointe Woods, MI
National Provider Identifier
1710130927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 14406
- Legal business name
- CONTEMPORARY FAMILY DENTISTRY
- Practice address
- 21308 Mack Avenue
Grosse Pointe Woods, MI 48236-1047 - Phone
- (313) 881-8080
- Fax
- (313) 881-8088
- NPI assigned
- Oct 31, 2008
- 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. Mary Elizabeth Fontana, D.D.S. FAGD
- Title
- Dentist
- Phone
- (313) 881-8080
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 14406 | MI | Primary |
Addresses
Primary practice location
21308 Mack Avenue
Grosse Pointe Woods, MI 48236-1047
Mailing address
21308 Mack Avenue
Grosse Pointe Woods, MI 48236-1047
Phone (313) 881-8080
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225411200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1225411200000",
"number": "1710130927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21308 MACK AVENUE",
"city": "GROSSE POINTE WOODS",
"state": "MI",
"postal_code": "482361047",
"telephone_number": "313-881-8080",
"fax_number": "313-881-8088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21308 MACK AVENUE",
"city": "GROSSE POINTE WOODS",
"state": "MI",
"postal_code": "482361047",
"telephone_number": "313-881-8080",
"fax_number": "313-881-8088"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONTEMPORARY FAMILY DENTISTRY",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-31",
"last_updated": "2008-10-31",
"status": "A",
"authorized_official_last_name": "FONTANA",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "ELIZABETH",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "313-881-8080",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S. FAGD"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": "MI",
"license": "14406",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grosse Pointe Woods, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.