Organization Active NPI

Mitchell and Mitchell DDS PC

  • General Practice Dentistry
  • Saint Clair Shores, MI
National Provider Identifier
1912174962
Registry record updated May 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901015732 Issued in MI
Legal business name
MITCHELL AND MITCHELL DDS PC
Practice address
29820 Harper Ave
Suite a
Saint Clair Shores, MI 48082-2644
Phone
(586) 285-5200
Fax
(586) 285-5400
NPI assigned
May 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2008

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

Authorized official

Name
Dr. Vincent Edward Mitchell, DDS
Title
Co Owner
Phone
(586) 285-5200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 2901015732 MI Primary

Addresses

Primary practice location

29820 Harper Ave
Suite a
Saint Clair Shores, MI 48082-2644

Mailing address

29820 Harper Ave
Suite a
Saint Clair Shores, MI 48082-2644
Phone (586) 285-5200

Other names 1

  • Mitchell Family Dental Other name

National Provider Directory

National Provider Directory

Locations

29820 Harper Ave
Ste A
Saint Clair Shores, MI 48082
Phone (586) 285-5200

NPI Registry JSON

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

{
    "created_epoch": "1210291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210291200000",
    "number": "1912174962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29820 HARPER AVE",
            "address_2": "SUITE A",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480822644",
            "telephone_number": "586-285-5200",
            "fax_number": "586-285-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29820 HARPER AVE",
            "address_2": "SUITE A",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480822644",
            "telephone_number": "586-285-5200",
            "fax_number": "586-285-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL AND MITCHELL DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-09",
        "last_updated": "2008-05-09",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "586-285-5200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901015732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mitchell Family Dental",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Saint Clair Shores, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.