Exacta Dental Products, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

EXACTA DENTAL PRODUCTS, INC.

Practice address

44780 Macomb Industrial Dr
Clinton Township, MI 48036-1145

Phone

(800) 474-7665

NPI assigned

Jun 24, 2014

Organization subpart

No

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

Authorized official

Name

Frank Chase Wade

Title

Director of Operations

Phone

(800) 474-7665

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403568000000",
    "number": "1831504240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44780 MACOMB INDUSTRIAL DR",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480361145",
            "telephone_number": "800-474-7665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44780 MACOMB INDUSTRIAL DR",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480361145",
            "telephone_number": "800-474-7665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXACTA DENTAL PRODUCTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-24",
        "last_updated": "2014-06-24",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "CHASE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "800-474-7665"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Durable Medical Equipment & Medical Supplies in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; 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.