Organization Active NPI

Ralph R. Bozell D.D.S. P.C.

  • General Practice Dentistry
  • Canton, MI
National Provider Identifier
1790748762
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901010640 Issued in MI
Legal business name
RALPH R. BOZELL D.D.S. P.C.
Practice address
8550 N Canton Center Rd
Canton, MI 48187-1310
Phone
(734) 451-0995
Fax
(734) 451-1878
NPI assigned
Apr 10, 2006
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
Dr. Ralph Runnels Bozell III, D.D.S.NPI 1366455560
Title
President
Phone
(734) 451-0995

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
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 2901010640 MI Primary

Addresses

Primary practice location

8550 N Canton Center Rd
Canton, MI 48187-1310

Mailing address

8550 N Canton Center Rd
Canton, MI 48187-1310
Phone (734) 451-0995

National Provider Directory

National Provider Directory

Locations

8550 N Canton Center Rd
Canton, MI 48187
Phone (734) 451-0995

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": "1144627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790748762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8550 N CANTON CENTER RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481871310",
            "telephone_number": "734-451-0995",
            "fax_number": "734-451-1878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8550 N CANTON CENTER RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481871310",
            "telephone_number": "734-451-0995",
            "fax_number": "734-451-1878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RALPH R. BOZELL D.D.S. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOZELL",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "RUNNELS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-451-0995",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901010640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, 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.