SG Marshall Orthodontic Group PLLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

SG MARSHALL ORTHODONTIC GROUP PLLC

Practice address

214 Winston Dr
Marshall, MI 49068-8526

Phone

(269) 781-4000

NPI assigned

Mar 22, 2022

Organization subpart

No

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

Authorized official

Name

Anne Todd

Title

Manager

Phone

(978) 387-6025

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Timothy Charles Bandeen, DDS MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Battle Creek, MI
  • NPI 1790883742
  NPD (past)
• Louis G. Chmura, D.D.S., M.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Marshall, MI
  • NPI 1831192897
  NPD (past)

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

{
    "created_epoch": "1647907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647907200000",
    "number": "1760131239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 WINSTON DR",
            "city": "MARSHALL",
            "state": "MI",
            "postal_code": "490688526",
            "telephone_number": "269-781-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 WINSTON DR",
            "city": "MARSHALL",
            "state": "MI",
            "postal_code": "490688526",
            "telephone_number": "269-781-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SG MARSHALL ORTHODONTIC GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-22",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A",
        "authorized_official_last_name": "TODD",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "978-387-6025"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurie Schalow, MA, CCC-SLP
• Jeremiah Schnoor, M.D.
• Katherine Ann Schooley, MD
• Matthew Schwartz, PHARM.D.
• Melita Ruth Scott
• Laura L Shafer Kase, PT
• Aajay Shah, M.D.
• Vincent Shen, M.D.
• Barbara S Sherer, FNP
• Michelle Anna Shoup

• Orthodontics and Dentofacial Orthopedics Dentistry in Marshall, MI
• Providers in Marshall, MI by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2022; 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.