Anish Gupta DDS PLLC

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

Legal business name

ANISH GUPTA DDS PLLC

Practice address

30770 Lyon Center Dr. East
New Hudson, MI 48165

Phone

(248) 422-1555

Fax

(248) 422-0755

NPI assigned

Dec 22, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Anish Gupta, DDSNPI 1518251230

Title

Owner, Oral and Maxillofacial Surge

Phone

(248) 895-1451

Specialties & licenses 2

Addresses

Other names 2

• Lyon Dental Implants Doing business as
• Lyon Dental Implants and Oral Surgery Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anish Gupta, DDS

  • Dentist
  • New Hudson, MI
  • NPI 1518251230
  NPD Authorized official

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

{
    "created_epoch": "1608595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678060800000",
    "number": "1821685041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6736 PORTSMAN CT",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481872176",
            "telephone_number": "248-895-1451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30770 LYON CENTER DR. EAST",
            "city": "NEW HUDSON",
            "state": "MI",
            "postal_code": "48165",
            "telephone_number": "248-422-1555",
            "fax_number": "248-422-0755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANISH GUPTA DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-22",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "ANISH",
        "authorized_official_title_or_position": "OWNER, ORAL AND MAXILLOFACIAL SURGE",
        "authorized_official_telephone_number": "248-895-1451",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lyon Dental Implants",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lyon Dental Implants",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lyon Dental Implants and Oral Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nona Maureen Anderson, MSW
• Suyin Ballard, PA-C
• Molly Ann Bato, LMSW
• Reanna D Bell, LLMSW
• Lisa Michelle Briggs, LMSW
• William Brooks, LVN

• Oral & Maxillofacial Surgery (D.M.D.) in New Hudson, MI
• Providers in New Hudson, MI by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; 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.