Morning Star Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MORNING STAR DENTAL

Practice address

8292 E 12 Mile Rd
Warren, MI 48093-2737

Phone

(586) 393-1516

Fax

(586) 393-1518

NPI assigned

Sep 22, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Marcus L Paulus, DDSNPI 1073700852

Title

President

Phone

(586) 393-1516

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Marcus L Paulus, DDS

  • Dentist
  • Warren, MI
  • NPI 1073700852
  NPD Authorized official

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

{
    "created_epoch": "1632268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632268800000",
    "number": "1760153563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3756",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480373756",
            "telephone_number": "586-393-1516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8292 E 12 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480932737",
            "telephone_number": "586-393-1516",
            "fax_number": "586-393-1518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORNING STAR DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-22",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A",
        "authorized_official_last_name": "PAULUS",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-393-1516",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5387647",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert K Moore, MD
• Tiara Moore
• Robert I Moretsky, D.O.
• Catherine Moritz, LMSW
• Thomas Morneau II, DPT
• Bianca Symone-Raveen Morris, RN
• Laporsche Chanell Morris
• Sade Morris
• Katrina Morrison, COTA
• Allan Harvey Morton, D.O.

• 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 Sep 22, 2021; 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.