Greenville Family Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901018598 Issued in MI

Legal business name

GREENVILLE FAMILY DENTISTRY

Doing business as

Flat River Family Dentistry

Practice address

918 W Washington St
Greenville, MI 48838-2165

Phone

(616) 754-3511

Fax

(616) 754-2222

NPI assigned

Dec 11, 2013

Last updated

Apr 28, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sarah Elizabeth Mahar, DDSNPI 1528076676

Title

Owner

Phone

(616) 754-3511

Specialties & licenses 2

Addresses

Other names 1

• Flat River Family Dentistry Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sarah Elizabeth Mahar, D.D.S.

  • General Practice Dentistry
  • Greenville, MI
  • NPI 1528076676
  NPD (past) Authorized official
• Kirkwood E Faber, DDS

  • General Practice Dentistry
  • Greenville, MI
  • NPI 1205803244
  NPD (past)

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

{
    "created_epoch": "1386720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430179200000",
    "number": "1871924290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 W WASHINGTON ST",
            "city": "GREENVILLE",
            "state": "MI",
            "postal_code": "488382165",
            "telephone_number": "616-754-3511",
            "fax_number": "616-754-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "918 W WASHINGTON ST",
            "city": "GREENVILLE",
            "state": "MI",
            "postal_code": "488382165",
            "telephone_number": "616-754-3511",
            "fax_number": "616-754-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENVILLE FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-11",
        "last_updated": "2015-04-28",
        "status": "A",
        "authorized_official_last_name": "MAHAR",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-754-3511",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901010419",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901018598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Flat River Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vanessa Graves, IBCLC
• Matthew Michael Green, FNP-C
• Greenville Care Center, Inc (Metron of Greenville)
• Greenville Care Center, Inc.
• Greenville Family Dental, PLC (Greenville Family Dental)
• Greenville Family Foot Care P C
• Steven Michael Greenway, PA-C
• Gro Optical, LLC (G.R.O. Optical)
• Guardian Mobility LLC
• Nichole Gustavison, PHARMD

• General Practice Dentistry in Greenville, MI
• Providers in Greenville, 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 Apr 28, 2015; 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.