Thomas Veraldi, DMD Residency and Hospital Practice, PC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

2901021771 Issued in MI

Legal business name

THOMAS VERALDI, DMD RESIDENCY AND HOSPITAL PRACTICE, PC

Practice address

79 W Alexandrine St
3Rd FLR
Detroit, MI 48201-2015

Phone

(313) 833-2895

Fax

(313) 263-4332

NPI assigned

Feb 29, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Veraldi, DDS

Title

Dental Director

Phone

(313) 833-2895

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1456704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456704000000",
    "number": "1851751150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7310 WOODWARD AVE",
            "address_2": "STE 400",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023165",
            "telephone_number": "313-833-2895",
            "fax_number": "313-263-4332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 W ALEXANDRINE ST",
            "address_2": "3RD FLR",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012015",
            "telephone_number": "313-833-2895",
            "fax_number": "313-263-4332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS VERALDI, DMD RESIDENCY AND HOSPITAL PRACTICE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-29",
        "last_updated": "2016-02-29",
        "status": "A",
        "authorized_official_last_name": "VERALDI",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "DENTAL DIRECTOR",
        "authorized_official_telephone_number": "313-833-2895",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MI",
            "license": "2901021771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Dentistry in Detroit, MI
• Providers in Detroit, MI by specialty
• Pediatric Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2016; 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.