Clinton Township Dental Group

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

2901015810 Issued in MI

Legal business name

CLINTON TOWNSHIP DENTAL GROUP

Doing business as

Stoneridge Dental

Practice address

43230 Garfield Rd
Suite 110
Clinton TWP, MI 48038

Phone

(586) 412-7100

Fax

(586) 712-7105

NPI assigned

Feb 5, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Anthony Rocco Bielkie, D.D.S.

Title

President

Phone

(586) 412-7100

Specialties & licenses 1

Addresses

Other names 1

• Stoneridge Dental Doing business as

Practitioners 1

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

• Juergen Lafrenz, D.D.S.

  • General Practice Dentistry
  • Lakewood Ranch, FL
  • NPI 1013975754
  NPD (past)

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

{
    "created_epoch": "1454630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454630400000",
    "number": "1932567906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43230 GARFIELD RD",
            "address_2": "SUITE 110",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480381162",
            "telephone_number": "586-412-7100",
            "fax_number": "586-412-7105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43230 GARFIELD RD",
            "address_2": "SUITE 110",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "48038",
            "telephone_number": "586-412-7100",
            "fax_number": "586-712-7105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINTON TOWNSHIP DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-05",
        "last_updated": "2016-02-05",
        "status": "A",
        "authorized_official_last_name": "BIELKIE",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "ROCCO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-412-7100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MI",
            "license": "2901015810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stoneridge Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Janel Cicalo, M.A,, CCC-SLP
• Emily Cieslik, D.O
• Claims Management Consultants of Michigan (CARE Michigan)
• Kay Frances Cleveland, LPN
• Clinton Opco LLC
• Clinton TWP Spine Care PC
• Linda Rose Clor, LMSW LMFT
• Hunter Michael Colden
• Dawanda Cole
• Emma Cole

• Dental Clinic/Center in Clinton TWP, MI
• Providers in Clinton TWP, MI by specialty
• Dental Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2016; 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.