Oralscan 3D

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

ORALSCAN 3D

Practice address

41620 6 Mile Rd
Ste. 101
Northville, MI 48168-8528

Phone

(888) 672-5722

Fax

(248) 349-4698

NPI assigned

Jan 28, 2009

Last updated

Jan 28, 2009By 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

Dr. Paul W Clancy, DDS

Title

President

Phone

(888) 672-5722

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1233100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233100800000",
    "number": "1770721839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41620 6 MILE RD",
            "address_2": "STE. 101",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481688528",
            "telephone_number": "888-672-5722",
            "fax_number": "248-349-4698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41620 6 MILE RD",
            "address_2": "STE. 101",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481688528",
            "telephone_number": "888-672-5722",
            "fax_number": "248-349-4698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORALSCAN 3D",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-28",
        "last_updated": "2009-01-28",
        "status": "A",
        "authorized_official_last_name": "CLANCY",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "888-672-5722",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Viktoria Mladenovik Odryna, MD
• Vineeta Ohri, PT
• Venkata Ojili
• Nneoma Okorafor
• Audrey D. Oleski, OTRL
• Derek Shahan Ornekian, DPT
• Juno Ottathengil
• Sarah Lynn Otten, NP-C
• Aderike Oyenuga, PT
• Marissa Theresa Ozog, PT, DPT

• Radiology Clinic/Center in Northville, MI
• Providers in Northville, MI by specialty
• Radiology Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2009; 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.