Engstrom Family Dental, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ENGSTROM FAMILY DENTAL, PLLC

Doing business as

Engstrom Family Dental, PLLC

Practice address

1625 Ramblewood Dr Ste 2
East Lansing, MI 48823-6367

Phone

(517) 332-0663

Fax

(517) 332-2240

NPI assigned

Jan 7, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Dennis A Engstrom, DDS

Title

LLC Member

Phone

(517) 881-4069

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Engstrom Family Dental, PLLC Doing business as

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

{
    "created_epoch": "1578355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578355200000",
    "number": "1841830999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 RAMBLEWOOD DR STE 2",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488236367",
            "telephone_number": "517-332-0663",
            "fax_number": "517-332-2240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 RAMBLEWOOD DR STE 2",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488236367",
            "telephone_number": "517-332-0663",
            "fax_number": "517-332-2240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENGSTROM FAMILY DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-07",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A",
        "authorized_official_last_name": "ENGSTROM",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "LLC MEMBER",
        "authorized_official_telephone_number": "517-881-4069",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 NPI",
            "identifier": "1003297359",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 NPI",
            "identifier": "1750455515",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Engstrom Family Dental, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Empowered Way of Life Therapy LLC
• Endodontic Specialists, P.C.
• Michael Engel
• Sheea Janelle Engelhardt
• James R. Engelkes, PHD
• Christine French Engstrom, D.D.S.
• Dennis Albert Engstrom, D.D.S.
• Danielle Lyndsey Engwis, FNP-C
• Jack David Eno
• Busra Ensar Yilmaz

• Dental Clinic/Center in East Lansing, MI
• Providers in East Lansing, MI by specialty
• Dental Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.