Active NPI
Wyoming Dental Associates
- Dentist
- Wyoming, MI
National Provider Identifier
1710909767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 14166
- Legal business name
- WYOMING DENTAL ASSOCIATES
- Practice address
- 1621 44TH St SW
Wyoming, MI 49509-4387 - Phone
- (616) 532-9003
- Fax
- (616) 532-7197
- NPI assigned
- Jul 25, 2006
- Last updated
- Jan 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. Dean Lawrence Weber, D.D.S.
- Title
- Dentist
- Phone
- (616) 532-9003
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 14166 | MI | Primary |
Addresses
Primary practice location
1621 44TH St SW
Wyoming, MI 49509-4387
Mailing address
1621 44TH St SW
Wyoming, MI 49509-4387
Phone (616) 532-9003
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Dentist
- Wyoming, MI
- NPI 1447438775
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1201737600000",
"number": "1710909767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1621 44TH ST SW",
"city": "WYOMING",
"state": "MI",
"postal_code": "495094387",
"telephone_number": "616-532-9003",
"fax_number": "616-532-7197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1621 44TH ST SW",
"city": "WYOMING",
"state": "MI",
"postal_code": "495094387",
"telephone_number": "616-532-9003",
"fax_number": "616-532-7197"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WYOMING DENTAL ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-25",
"last_updated": "2008-01-31",
"status": "A",
"authorized_official_last_name": "WEBER",
"authorized_official_first_name": "DEAN",
"authorized_official_middle_name": "LAWRENCE",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "616-532-9003",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "MI",
"license": "14166",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wyoming, MI
- Gerald Paul Wright Jr., M.D.
- Laqui Chenett Wright
- Breana Wygant, PHARM D.
- Brooke Wyn, MSW
- Jada Riley Wynne
- Wyoming Family Medicine PC
- Wyoming Family Vision Care LLC (Wyoming Family Vision Care)
- Wyoming Family Vision Care PLLC
- Wyoming Opco, LLC (Medilodge of Wyoming)
- Wyoming Park Pharmacy (Wyoming Park Compounding Pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 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.