Traci Jill Dantzler, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901015564 Issued in MI

Practice address

4170 Lennon Rd Ste a
Flint, MI 48507-1083

Phone

(810) 720-4170

NPI assigned

May 17, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Raymond Gist DDS PC

  • General Practice Dentistry
  • Flint, MI
  • NPI 1134852452
  NPD (past)

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

{
    "created_epoch": "1274054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274054400000",
    "number": "1730407602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4170 LENNON RD STE A",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485071083",
            "telephone_number": "810-720-4170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4170 LENNON RD STE A",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485071083",
            "telephone_number": "810-720-4170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANTZLER",
        "first_name": "TRACI",
        "middle_name": "JILL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-17",
        "last_updated": "2010-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901015564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danish Alamshahi Alamy MD
• Rizwan Danish, MD
• Christopher John Danko, M.A. L.L.P.
• Deborah Joan Danko, M.A. L.L.P.
• Joe Danko
• Jhanay Marie Darby
• Savanna Rose Darga
• Marie Ann Daris
• Caron Darkins
• Sevgi Dasdemir

• General Practice Dentistry in Flint, MI
• Providers in Flint, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2010; 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.