South Lyon Orthodontics, PC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

SOUTH LYON ORTHODONTICS, PC

Practice address

22900 Pontiac Trail
South Lyon, MI 48178

Phone

(248) 437-1620

Fax

(248) 437-2242

NPI assigned

Oct 2, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Renee E Geran, DDS, MSNPI 1861565129

Title

Doctor

Phone

(248) 437-1620

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Renee E Geran, D.D.S., M.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • South Lyon, MI
  • NPI 1861565129
  NPD (past) Authorized official
• Esther Borah Suh, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • South Lyon, MI
  • NPI 1154216406
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851484885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22900 PONTIAC TRAIL",
            "city": "SOUTH LYON",
            "state": "MI",
            "postal_code": "48178",
            "telephone_number": "248-437-1620",
            "fax_number": "248-437-2242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22900 PONTIAC TRAIL",
            "city": "SOUTH LYON",
            "state": "MI",
            "postal_code": "48178",
            "telephone_number": "248-437-1620",
            "fax_number": "248-437-2242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH LYON ORTHODONTICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GERAN",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "248-437-1620",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Lyon Dental Group, P.L.C.
• South Lyon Dermatology, PC
• South Lyon Family Docs PC
• South Lyon Family Physicians, PLLC
• South Lyon Foot & Ankle Specialists, P.C.
• South Lyon Pediatric Dentistry PLLC
• South Lyon Pharmacy LLC
• South Lyon Senior Care and Rehab Center, LLC
• Specialty Medicine Compounding Pharmacy
• Madeline Spencer, LLPC

• Orthodontics and Dentofacial Orthopedics Dentistry in South Lyon, MI
• Providers in South Lyon, MI by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Michigan

• 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.