Organization Active NPI

Contemporary Family Dentistry

  • Dentist
  • Grosse Pointe Woods, MI
National Provider Identifier
1710130927
Registry record updated Oct 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
14406 Issued in MI
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

Updated by the provider on Oct 31, 2008

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)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.