Woodland Lake Family Dental, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

WOODLAND LAKE FAMILY DENTAL, PLLC

Practice address

8127 Grand River Rd
Brighton, MI 48114-9375

Phone

(810) 229-6740

Fax

(810) 225-2344

NPI assigned

Feb 16, 2009

Organization subpart

No

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

Authorized official

Name

Mr. David R Potter

Title

District Manager

Phone

(734) 233-7475

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Saif Shounia, DMD

  • General Practice Dentistry
  • Brighton, MI
  • NPI 1730673039
  NPD (past)

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

{
    "created_epoch": "1234742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374105600000",
    "number": "1912146978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8127 GRAND RIVER RD",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481149375",
            "telephone_number": "810-229-6740",
            "fax_number": "810-225-2344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8127 GRAND RIVER RD",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481149375",
            "telephone_number": "810-229-6740",
            "fax_number": "810-225-2344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLAND LAKE FAMILY DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-16",
        "last_updated": "2013-07-18",
        "status": "A",
        "authorized_official_last_name": "POTTER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DISTRICT MANAGER",
        "authorized_official_telephone_number": "734-233-7475",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Kallio Wolbers, PA-C
• Andrew Wood, MD
• Chelsey Wood, AT, PTA
• Woodland Ambulatory Surgery
• Woodland Imaging Center LLC
• Woodward Detroit CVS LLC
• Woodward Detroit CVS, L.L.C.
• Work Skills Corporation
• Work Skills Corporation
• Work Skills Corporation

• General Practice Dentistry in Brighton, MI
• Providers in Brighton, 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 Jul 18, 2013; 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.