Ao of Saginaw

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

18261 Issued in MI

Legal business name

AO OF SAGINAW

Practice address

3456 Shattuck Rd Ste 4
Saginaw, MI 48603-7003

Phone

(989) 754-2171

NPI assigned

May 29, 2018

Organization subpart

No

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

Authorized official

Name

Donald J Sabourin, DDS

Title

Owner

Phone

(989) 792-8892

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538611200000",
    "number": "1902397797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 CENTER AVE STE 215",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487085974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3456 SHATTUCK RD STE 4",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486037003",
            "telephone_number": "989-754-2171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AO OF SAGINAW",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-29",
        "last_updated": "2018-10-04",
        "status": "A",
        "authorized_official_last_name": "SABOURIN",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-792-8892",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "18261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Saginaw, MI
• Providers in Saginaw, MI by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2018; 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.