Active NPI
Meridian Dental Associates PLLC
- Dentist
- Ypsilanti, MI
National Provider Identifier
1770180481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Steven Lawrence Fletcher, DDS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@southhurondental.com |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Dentist
- Ypsilanti, MI
- NPI 1952632457
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.