Organization Active NPI

Flat Rock Dental, P.C.

  • Dentist
  • Flat Rock, MI
National Provider Identifier
1770706715
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
FLAT ROCK DENTAL, P.C.
Practice address
26500 W Huron River Dr
Flat Rock, MI 48134-1135
Phone
(734) 782-3500
Fax
(734) 782-0938
NPI assigned
Apr 10, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Marianne T. Williams
Title
Office Manager
Phone
(734) 782-3500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

26500 W Huron River Dr
Flat Rock, MI 48134-1135

Mailing address

26500 W Huron River Dr
Flat Rock, MI 48134-1135
Phone (734) 782-3500

National Provider Directory

National Provider Directory

Locations

26500 W Huron River Dr
Flat Rock, MI 48134
Phone (734) 782-3500

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770706715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26500 W HURON RIVER DR",
            "city": "FLAT ROCK",
            "state": "MI",
            "postal_code": "481341135",
            "telephone_number": "734-782-3500",
            "fax_number": "734-782-0938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26500 W HURON RIVER DR",
            "city": "FLAT ROCK",
            "state": "MI",
            "postal_code": "481341135",
            "telephone_number": "734-782-3500",
            "fax_number": "734-782-0938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLAT ROCK DENTAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "MARIANNE",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "734-782-3500",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flat Rock, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.