Individual provider Active NPI

Noelle Rene Gailey, DDS

  • General Practice Dentistry
  • Clarkston, MI
National Provider Identifier
1740375674
Registry record updated Jul 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901016967 Issued in MI
Practice address
7650 Dixie Hwy Ste 120
Clarkston, MI 48346
Phone
(248) 625-1769
NPI assigned
Oct 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901016967 MI Primary

Addresses

Primary practice location

7650 Dixie Hwy Ste 120
Clarkston, MI 48346

Mailing address

36150 Dequindre Rd
Suite 800
Sterling Heights, MI 48310-7149
Phone (586) 977-9050

Other practice location 1

36150 Dequindre Rd
suite 800
Sterling Heights, MI 48310-7149
Phone (586) 977-9050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2901016967MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Noelle R. Gailey DDS PLLC CurrentSince Jun 12, 2022 Accepting new patients
Laser Dental Associates-Sterling Heights PLLC PastSince Jan 21, 2024 Accepting new patients
Frank Rosner, D.D.S., P.C. PastSince Apr 25, 2021 Accepting new patients

Locations

7650 Dixie Hwy
Ste 120
Clarkston, MI 48346
Phone (248) 625-1769

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532908800000",
    "number": "1740375674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36150 DEQUINDRE RD",
            "address_2": "SUITE 800",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483107149",
            "telephone_number": "586-977-9050",
            "fax_number": "586-977-5706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7650 DIXIE HWY STE 120",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "48346",
            "telephone_number": "248-625-1769"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "36150 Dequindre Rd",
            "address_2": "suite 800",
            "address_purpose": "LOCATION",
            "city": "Sterling Heights",
            "state": "MI",
            "postal_code": "483107149",
            "country_code": "US",
            "telephone_number": "586-977-9050",
            "fax_number": "586-977-5706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAILEY",
        "first_name": "NOELLE",
        "middle_name": "RENE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2018-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901016967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarkston, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2018; 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.