Redwood Dental Group PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

REDWOOD DENTAL GROUP PC

Doing business as

Redwood Dental Group

Practice address

800 Kirts Blvd Ste 650
Troy, MI 48084-4850

Phone

(248) 842-3670

Fax

(586) 991-1933

NPI assigned

Jun 20, 2007

Organization subpart

No

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

Authorized official

Name

Brittany Chapman

Title

Credentialing Manager

Phone

(248) 842-3670

Specialties & licenses 1

Addresses

Other names 1

• Redwood Dental Group Doing business as

Locations

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712620800000",
    "number": "1790980647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 KIRTS BLVD STE 650",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480844850",
            "telephone_number": "248-842-3670",
            "fax_number": "586-991-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 KIRTS BLVD STE 650",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480844850",
            "telephone_number": "248-842-3670",
            "fax_number": "586-991-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDWOOD DENTAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A",
        "authorized_official_last_name": "CHAPMAN",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "248-842-3670"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Redwood Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Troy, MI
• Providers in Troy, 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 Apr 9, 2024; 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.