Monoseta C. Burwell, D.M.D., P.C.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

2901013087 Issued in MI

Legal business name

MONOSETA C. BURWELL, D.M.D., P.C.

Practice address

18951 W 12 Mile Rd
Lathrup Village, MI 48076-2575

Phone

(248) 353-4747

Fax

(248) 353-2297

NPI assigned

Jul 23, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Monoseta Covington-Burwell, D.M.D.

Title

President/Dentist

Phone

(248) 353-4747

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1469232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469232000000",
    "number": "1760935993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18951 W 12 MILE RD",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480762575",
            "telephone_number": "248-353-4747",
            "fax_number": "248-353-2297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18951 W 12 MILE RD",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480762575",
            "telephone_number": "248-353-4747",
            "fax_number": "248-353-2297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONOSETA C. BURWELL, D.M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-23",
        "last_updated": "2016-07-23",
        "status": "A",
        "authorized_official_last_name": "COVINGTON-BURWELL",
        "authorized_official_first_name": "MONOSETA",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "248-353-4747",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MI",
            "license": "2901013087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Lathrup Village, MI
• Providers in Lathrup Village, MI by specialty
• Dental Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2016; 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.