Troy John R Dental Practice Entity PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

TROY JOHN R DENTAL PRACTICE ENTITY PC

Doing business as

Troy John R Dental

Practice address

4101 John R Rd Ste 100
Troy, MI 48085-3647

Phone

(248) 680-0775

NPI assigned

Jan 13, 2025

Organization subpart

No

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

Authorized official

Name

Rita Delly

Title

Ceo

Phone

(248) 697-6870

Specialties & licenses 1

Addresses

Other names 1

• Troy John R Dental Doing business as

Locations

Practitioners 1

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

• Dennis George Charnesky, DDS

  • General Practice Dentistry
  • Troy, MI
  • NPI 1073634937
  NPD (past)

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

{
    "created_epoch": "1736726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736726400000",
    "number": "1922818749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 JOHN R RD STE 100",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480853647",
            "telephone_number": "248-680-0775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 JOHN R RD STE 100",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480853647",
            "telephone_number": "248-680-0775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TROY JOHN R DENTAL PRACTICE ENTITY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-13",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A",
        "authorized_official_last_name": "DELLY",
        "authorized_official_first_name": "RITA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-697-6870"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Troy John R Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Troy Internal Medicine, PC
• Troy Luxury Dentistry
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• Troy Medical P C

• General Practice Dentistry in Troy, MI
• Providers in Troy, 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 Jan 13, 2025; 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.