John Gregory Palanci, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901010250 Issued in MI

Practice address

4010 Page Avenue
Michigan Center, MI 49254-0497

Phone

(517) 764-5750

Fax

(517) 764-6106

NPI assigned

May 1, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790906394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 PAGE AVENUE",
            "address_2": "P.O. BOX 497",
            "city": "MICHIGAN CENTER",
            "state": "MI",
            "postal_code": "492540497",
            "telephone_number": "517-764-5750",
            "fax_number": "517-764-6106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 PAGE AVENUE",
            "city": "MICHIGAN CENTER",
            "state": "MI",
            "postal_code": "492540497",
            "telephone_number": "517-764-5750",
            "fax_number": "517-764-6106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALANCI",
        "first_name": "JOHN",
        "middle_name": "GREGORY",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901010250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• LTC Leonard LLC (LTC Welcome Michigan Center)
• LTC Leonard LLC (LTC Welcome Pharmacy Michigan Center)
• Hamead Moshrefi
• Erich Okonowski, MS
• Matthew Lee Opanasenko, DPT
• Stacey Marie Payne, RN
• Melissa Lou Rappaport, MA, LLPC
• Mary Jo Ann Robb, LPN
• Craig Edward Ross, M.D.
• Sharon Lynn Ruder

• General Practice Dentistry in Michigan Center, MI
• Providers in Michigan Center, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.