Heather Gayle Daitch, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

18851 Issued in MI

Practice address

2819 Orchard Lake Rd
Keego Harbor, MI 48320-1448

Phone

(248) 683-2323

NPI assigned

Oct 3, 2006

Sex

Female

Sole proprietor

No

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lakeview Family Dental - Keego Harbor

  • Dentist
  • Keego Harbor, MI
  • NPI 1578154688
  NPD (past)
• Mark I Rosenberg DDS PC

  • Dentist
  • Keego Harbor, MI
  • NPI 1447336128
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801980925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2819 ORCHARD LAKE RD",
            "city": "KEEGO HARBOR",
            "state": "MI",
            "postal_code": "483201448",
            "telephone_number": "248-683-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2819 ORCHARD LAKE RD",
            "city": "KEEGO HARBOR",
            "state": "MI",
            "postal_code": "483201448",
            "telephone_number": "248-683-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAITCH",
        "first_name": "HEATHER",
        "middle_name": "GAYLE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "18851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saurish Chakravarty, PT
• Compassionate Oxygen & Respiratory Services,Inc.
• Cory J Mullins, LLC
• Covered by Faith
• Karen R Cox, MSN, RN
• Tiffany Danpollo
• Excel Footcare
• Kathryn Fawcett
• Rebecca Forslund
• Full Circle Behavioral Health, PC

• General Practice Dentistry in Keego Harbor, MI
• Providers in Keego Harbor, 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.