Organization Active NPI

Tiffany Danyal Clarkston PLLC

  • Dental Clinic/Center
  • Clarkston, MI
National Provider Identifier
1780292250
Registry record updated Jul 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
TIFFANY DANYAL CLARKSTON PLLC
Practice address
55 S Main St
Clarkston, MI 48346-1527
Phone
(248) 625-2066
NPI assigned
Jul 21, 2020
Last updated
Jul 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2020

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

Authorized official

Name
Megan Drummond
Title
Management
Phone
(386) 283-7165

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

55 S Main St
Clarkston, MI 48346-1527

Mailing address

55 S Main St
Clarkston, MI 48346-1527
Phone (248) 625-2066

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595376000000",
    "number": "1780292250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 S MAIN ST",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483461527",
            "telephone_number": "248-625-2066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 S MAIN ST",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483461527",
            "telephone_number": "248-625-2066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIFFANY DANYAL CLARKSTON PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-21",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A",
        "authorized_official_last_name": "DRUMMOND",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "MANAGEMENT",
        "authorized_official_telephone_number": "386-283-7165"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarkston, MI

Sources for this page

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