NPIMap

Organization Active NPI

Dalton P Coe DDS PC

  • General Practice Dentistry
  • Sebewaing, MI
National Provider Identifier
1821100561
Registry record updated Jan 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901017713 Issued in MI
Legal business name
DALTON P COE DDS PC
Practice address
106 E Main St
Sebewaing, MI 48759
Phone
(989) 883-3530
Fax
(989) 883-9131
NPI assigned
Aug 31, 2006
Last updated
Jan 19, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2017

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

Authorized official

Name
Bradi K Boyce, DDSNPI 1164523486
Title
President
Phone
(989) 883-3530

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901019515 MI
General Practice Dentistry 1223G0001X 2901017713 MI Primary

Addresses

Primary practice location

106 E Main St
Sebewaing, MI 48759

Mailing address

106 E Main St
Sebewaing, MI 48759
Phone (989) 883-3530

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484784000000",
    "number": "1821100561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 E MAIN ST",
            "city": "SEBEWAING",
            "state": "MI",
            "postal_code": "48759",
            "telephone_number": "989-883-3530",
            "fax_number": "989-883-9131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 E MAIN ST",
            "city": "SEBEWAING",
            "state": "MI",
            "postal_code": "48759",
            "telephone_number": "989-883-3530",
            "fax_number": "989-883-9131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALTON P COE DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2017-01-19",
        "status": "A",
        "authorized_official_last_name": "BOYCE",
        "authorized_official_first_name": "BRADI",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "989-883-3530",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901019515",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901017713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebewaing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2017; 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.