Organization Active NPI

American Professional Periodontics

Doing business as Great Expression Dental Centers

  • Periodontics
  • Bloomfield Hills, MI
National Provider Identifier
1760528632
Registry record updated Mar 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
AMERICAN PROFESSIONAL PERIODONTICS
Doing business as
Great Expression Dental Centers
Practice address
300 E Long Lake
Ste 311
Bloomfield Hills, MI 48304
Phone
(248) 203-1100
Fax
(248) 203-1112
NPI assigned
Jan 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2015

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

Authorized official

Name
Richard E Beckman
Title
Ceo
Phone
(248) 203-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X Primary

Addresses

Primary practice location

300 E Long Lake
Ste 311
Bloomfield Hills, MI 48304

Mailing address

300 E Long Lake
Ste 311
Bloomfield Hills, MI 48304
Phone (248) 203-1100

Other names 1

  • Great Expression Dental Centers Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426118400000",
    "number": "1760528632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E LONG LAKE",
            "address_2": "STE 311",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "48304",
            "telephone_number": "248-203-1100",
            "fax_number": "248-203-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E LONG LAKE",
            "address_2": "STE 311",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "48304",
            "telephone_number": "248-203-1100",
            "fax_number": "248-203-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN PROFESSIONAL PERIODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2015-03-12",
        "status": "A",
        "authorized_official_last_name": "BECKMAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-203-1100"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Great Expression Dental Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bloomfield Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2015; 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.