Brian J. Polidori DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901016047 Issued in MI

Legal business name

BRIAN J. POLIDORI DDS PC

Practice address

22701 Ann Arbor TRL
Dearborn Heights, MI 48127-2574

Phone

(313) 274-4422

Fax

(313) 274-7092

NPI assigned

Mar 3, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Brian J Polidori, DDS

Title

Owner

Phone

(313) 274-4422

Specialties & licenses 1

Addresses

Other names 1

• Polidori Dental Doing business as

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204502400000",
    "number": "1861662264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22701 ANN ARBOR TRL",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481272574",
            "telephone_number": "313-274-4422",
            "fax_number": "313-274-7092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22701 ANN ARBOR TRL",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481272574",
            "telephone_number": "313-274-4422",
            "fax_number": "313-274-7092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN J. POLIDORI DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-03",
        "last_updated": "2008-03-03",
        "status": "A",
        "authorized_official_last_name": "POLIDORI",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-274-4422",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901016047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Polidori Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Dearborn Heights, MI
• Providers in Dearborn Heights, 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 Mar 3, 2008; 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.