Pierce Street Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901020341 Issued in MI

Legal business name

PIERCE STREET DENTAL

Practice address

32990 Pierce St
Beverly Hills, MI 48025-3216

Phone

(248) 594-3300

Fax

(248) 594-3121

NPI assigned

Jan 17, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Joelson, D.D.S.NPI 1790999399

Title

Owner

Phone

(248) 594-3120

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Matthew Ellis Joelson, DDS

  • General Practice Dentistry
  • Beverly Hills, MI
  • NPI 1790999399
  NPD (past) Authorized official

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

{
    "created_epoch": "1358380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358380800000",
    "number": "1851639397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32990 PIERCE ST",
            "city": "BEVERLY HILLS",
            "state": "MI",
            "postal_code": "480253216",
            "fax_number": "248-594-3121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32990 PIERCE ST",
            "city": "BEVERLY HILLS",
            "state": "MI",
            "postal_code": "480253216",
            "telephone_number": "248-594-3300",
            "fax_number": "248-594-3121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIERCE STREET DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-17",
        "last_updated": "2013-01-17",
        "status": "A",
        "authorized_official_last_name": "JOELSON",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-594-3120",
        "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": "2901020341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Beverly Hills, MI
• Providers in Beverly Hills, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2013; 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.