Individual provider Active NPI

John Anthony Dobry, D.D.S.

  • Dentist
  • Clinton Township, MI
National Provider Identifier
1720068372
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
13602 Issued in MI
Practice address
15870 19 Mile Rd
Suite 160
Clinton Township, MI 48038-3527
Phone
(586) 286-0790
Fax
(586) 286-3682
NPI assigned
Jan 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 13602 MI Primary

Addresses

Primary practice location

15870 19 Mile Rd
Suite 160
Clinton Township, MI 48038-3527

Mailing address

15870 19 Mile Rd
Suite 160
Clinton Township, MI 48038-3527
Phone (586) 286-0790

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160204000077 MI Order and Referring Only - DentistPractitioner - Dentist 4688762941

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13602MIMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1720068372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15870 19 MILE RD",
            "address_2": "SUITE 160",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480383527",
            "telephone_number": "586-286-0790",
            "fax_number": "586-286-3682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15870 19 MILE RD",
            "address_2": "SUITE 160",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480383527",
            "telephone_number": "586-286-0790",
            "fax_number": "586-286-3682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBRY",
        "first_name": "JOHN",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "13602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

Verify at the official NPI Registry.