Organization Active NPI

Wick Road Dental Center

  • General Practice Dentistry
  • Taylor, MI
National Provider Identifier
1821118142
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D8969 Issued in MI
Legal business name
WICK ROAD DENTAL CENTER
Practice address
22350 Wick Rd
Taylor, MI 48180-3607
Phone
(313) 291-2600
Fax
(313) 291-0731
NPI assigned
Mar 30, 2007
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. Jerry A Aronoff, D.D.S.
Title
Owner
Phone
(313) 291-2600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X D8969 MI Primary

Addresses

Primary practice location

22350 Wick Rd
Taylor, MI 48180-3607

Mailing address

22350 Wick Rd
Taylor, MI 48180-3607
Phone (313) 291-2600

National Provider Directory

National Provider Directory

Locations

22350 Wick Rd
Taylor, MI 48180
Phone (313) 291-2600

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821118142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22350 WICK RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481803607",
            "telephone_number": "313-291-2600",
            "fax_number": "313-291-0731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22350 WICK RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481803607",
            "telephone_number": "313-291-2600",
            "fax_number": "313-291-0731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WICK ROAD DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ARONOFF",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-291-2600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "D8969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylor, 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.