Organization Active NPI

Meridian Dental Associates PLLC

  • Dentist
  • Ypsilanti, MI
National Provider Identifier
1770180481
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
MERIDIAN DENTAL ASSOCIATES PLLC
Practice address
1637 S Huron St
Ypsilanti, MI 48197-9701
Phone
(734) 482-1300
Fax
(734) 482-1309
NPI assigned
Oct 6, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2020

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

Authorized official

Name
Steven Lawrence Fletcher, DDSNPI 1952632457
Title
President
Phone
(734) 482-1300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

1637 S Huron St
Ypsilanti, MI 48197-9701

Mailing address

1637 S Huron St
Ypsilanti, MI 48197-9701
Phone (734) 482-1300

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@southhurondental.com

National Provider Directory

National Provider Directory

Locations

1637 S Huron St
Ypsilanti, MI 48197
Phone (313) 737-0057

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1601942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601942400000",
    "number": "1770180481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1637 S HURON ST",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481979701",
            "telephone_number": "734-482-1300",
            "fax_number": "734-482-1309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1637 S HURON ST",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481979701",
            "telephone_number": "734-482-1300",
            "fax_number": "734-482-1309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN DENTAL ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-06",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A",
        "authorized_official_last_name": "FLETCHER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-482-1300",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@southhurondental.com",
            "affiliation": "N",
            "address_1": "1637 S Huron St",
            "city": "Ypsilanti",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481979701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ypsilanti, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; 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.