Michigan Mainstreet Dentistry Ann Arbor

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

MICHIGAN MAINSTREET DENTISTRY ANN ARBOR

Practice address

625 E Liberty St
Ann Arbor, MI 48104-2013

Phone

(734) 668-6612

Fax

(734) 668-6608

NPI assigned

Oct 17, 2019

Last updated

Oct 17, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Glenn Curtis, DDSNPI 1891032546

Title

Owner

Phone

(586) 612-0234

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Glenn Curtis, DDS

  • Dentist
  • Plymouth, MI
  • NPI 1891032546
  NPD Authorized official

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

{
    "created_epoch": "1571270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571270400000",
    "number": "1770125189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 E LIBERTY ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481042013",
            "telephone_number": "734-668-6612",
            "fax_number": "734-662-6608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 E LIBERTY ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481042013",
            "telephone_number": "734-668-6612",
            "fax_number": "734-668-6608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN MAINSTREET DENTISTRY ANN ARBOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-17",
        "last_updated": "2019-10-17",
        "status": "A",
        "authorized_official_last_name": "CURTIS",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-612-0234",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michigan Headache & Neurological Institute PC (Michigan Head-Pain & Neurological Institute, PC)
• Michigan Headache & Neurological Institute PC (Michigan Head-Pain and Neurological Institute, PC)
• Michigan Implants & Periodontics Institute, P.L.C.
• Michigan Integrative Psychiatry, PC
• Michigan Luna Care Physical Therapy, LLC
• Michigan Oral and Maxillofacial Surgeons, P.C. (Doctors Dalbert W. Fear, Jr, Roger P. Hitchcock & William D. Baxter,Jr)
• Michigan Pain Specialists, PLLC
• Michigan Progressive Health Ann Arbor
• Michigan Rehabilitation Specialists of Ann Arbor LLC (Michigan Rehabilitation Specialists)
• Michigan Urgent Care

• Dentist in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; 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.