NPIMap

Organization Active NPI

Thomas G. Santarossa DDS PC

  • Dentist
  • Clarkston, MI
National Provider Identifier
1881644243
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
13006 Issued in MI
Legal business name
THOMAS G. SANTAROSSA DDS PC
Practice address
7210 N Main St
Suite 104
Clarkston, MI 48346-1575
Phone
(248) 620-9010
Fax
(248) 620-0433
NPI assigned
May 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Thomas Gregory Santarossa, D.D.S.NPI 1700955788
Title
Owner
Phone
(248) 620-9010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 13006 MI Primary

Addresses

Primary practice location

7210 N Main St
Suite 104
Clarkston, MI 48346-1575

Mailing address

7210 N Main St
Suite 104
Clarkston, MI 48346-1575
Phone (248) 620-9010

National Provider Directory

National Provider Directory

Locations

7210 N Main St
Ste 104
Clarkston, MI 48346
Phone (248) 620-9010

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881644243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7210 N MAIN ST",
            "address_2": "SUITE 104",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483461575",
            "telephone_number": "248-620-9010",
            "fax_number": "248-620-0433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7210 N MAIN ST",
            "address_2": "SUITE 104",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483461575",
            "telephone_number": "248-620-9010",
            "fax_number": "248-620-0433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS G. SANTAROSSA DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANTAROSSA",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "GREGORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-620-9010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "13006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarkston, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.