Creative Dental Center PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

015192 Issued in MI

Legal business name

CREATIVE DENTAL CENTER PC

Practice address

28225 Hoover Rd
Warren, MI 48093-5436

Phone

(586) 751-6617

Fax

(586) 751-6264

NPI assigned

Dec 13, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Mark A Kohn, D.D.S.NPI 1689645988

Title

Owner

Phone

(586) 751-6617

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark A. Kohn, D.D.S.

  • General Practice Dentistry
  • Warren, MI
  • NPI 1689645988
  NPD (past) Authorized official

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

{
    "created_epoch": "1323734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323734400000",
    "number": "1740558139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28225 HOOVER RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480935436",
            "telephone_number": "586-751-6617",
            "fax_number": "586-751-6264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28225 HOOVER RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480935436",
            "telephone_number": "586-751-6617",
            "fax_number": "586-751-6264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE DENTAL CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-13",
        "last_updated": "2011-12-13",
        "status": "A",
        "authorized_official_last_name": "KOHN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-751-6617",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "015192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Cox
• William Cramer
• Rachel K Crandall, MSW LMSW ACSW
• Angela Crane
• William Crasto, DO
• Amelia Cribb, DO
• CRN Dispensing PLLC
• CRN Medical Group PLLC
• Malisha Crockett
• Jessica Cronberg

• General Practice Dentistry in Warren, MI
• Providers in Warren, 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 Dec 13, 2011; 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.