Individual provider Active NPI

Michelle Lynn Maltese, D.D.S.

  • Dentist
  • Rochester, MI
National Provider Identifier
1871976373
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901021495 Issued in MI
Practice address
4450 Collins Rd
Rochester, MI 48306-1620
Phone
(248) 652-3663
NPI assigned
Jul 1, 2015
Last updated
Jul 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901021495 MI Primary

Addresses

Primary practice location

4450 Collins Rd
Rochester, MI 48306-1620

Mailing address

4741 24 Mile Rd Ste C
Shelby TWP, MI 48316-3111
Phone (248) 652-0024

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
HPS Advanced Dental Care, PC CurrentSince Aug 30, 2020 Accepting new patients
David M Juliani DDS PLLC Past Accepting new patients
Paint Creek Dentistry P.C. PastSince Jul 31, 2023 Accepting new patients

Locations

4741 24 Mile Rd
Ste C
Shelby Township, MI 48316
Phone (248) 652-0024

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1871976373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4741 24 MILE RD STE C",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "483163111",
            "telephone_number": "248-652-0024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 COLLINS RD",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483061620",
            "telephone_number": "248-652-3663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALTESE",
        "first_name": "MICHELLE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-01",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901021495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; 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.