William R Desjardins DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

WILLIAM R DESJARDINS DDS PC

Practice address

101 Maple Ridge Dr.
East Jordan, MI 49727

Phone

(231) 536-2601

Fax

(231) 536-2909

NPI assigned

Jul 21, 2020

Organization subpart

No

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

Authorized official

Name

Gail S Bingham

Title

Office Manager

Phone

(231) 536-2601

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595289600000",
    "number": "1760090278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 571",
            "address_2": "101 MAPLE RIDGE DRIVE",
            "city": "EAST JORDAN",
            "state": "MI",
            "postal_code": "49727",
            "telephone_number": "231-536-2601",
            "fax_number": "231-536-2909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MAPLE RIDGE DR.",
            "city": "EAST JORDAN",
            "state": "MI",
            "postal_code": "49727",
            "telephone_number": "231-536-2601",
            "fax_number": "231-536-2909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM R DESJARDINS DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-21",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A",
        "authorized_official_last_name": "BINGHAM",
        "authorized_official_first_name": "GAIL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "231-536-2601"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Together in Language
• Up North Counseling, PLLC
• Ferdinand Chiang Uy, PT
• John David Wallace, PA-C
• William R. Webb, MD
• William R. Desjardins, DDS, PLLC
• Joelle Woodruff
• Molly Zubal

• General Practice Dentistry in East Jordan, MI
• Providers in East Jordan, 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 Jul 21, 2020; 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.