Midwestern Dental of Dearborn

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

N/A

Legal business name

MIDWESTERN DENTAL OF DEARBORN

Practice address

5050 Schaefer Rd
Dearborn, MI 48126-3249

Phone

(313) 582-8150

Fax

(313) 582-6015

NPI assigned

May 5, 2006

Organization subpart

No

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

Authorized official

Name

John Morgan Jr.

Title

Administrative Director

Phone

(313) 582-8150

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217894400000",
    "number": "1881642122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 SCHAEFER RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263249",
            "telephone_number": "313-582-8150",
            "fax_number": "313-582-6015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 SCHAEFER RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263249",
            "telephone_number": "313-582-8150",
            "fax_number": "313-582-6015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWESTERN DENTAL OF DEARBORN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2008-08-05",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "313-582-8150",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": "N/A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Midwest Medical Supply, Inc.
• Midwest Physical Therapy Inc
• Midwest Surgery Center
• Midwest Wound Care Associates, PC
• Midwestdental of Dearborn
• Midwestern Oral Surgery Associates, PLLC
• Midwestern Orthodontic Associates
• Midwestern Periodontic Associates
• Midwesthealth Center PC
• Midwesthealthcenter

• General Practice Dentistry in Dearborn, MI
• Providers in Dearborn, 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 Aug 5, 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.