Wiilliam a. Patchak D.D.S. P.C.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

2901011397 Issued in MI

Legal business name

WIILLIAM A. PATCHAK D.D.S. P.C.

Practice address

306 W Washington Ave
Suite 105
Jackson, MI 49201-2169

Phone

(517) 788-8340

Fax

(517) 788-8343

NPI assigned

Oct 24, 2006

Organization subpart

No

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

Authorized official

Name

Dr. William Allan Patchak, D.D.S.NPI 1124162185

Title

President

Phone

(517) 788-8340

Specialties & licenses 1

Addresses

Practitioners 1

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

• William Allan Patchak, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Jackson, MI
  • NPI 1124162185
  NPD (past) Authorized official

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942384292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 W WASHINGTON AVE",
            "address_2": "SUITE 105",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012169",
            "telephone_number": "517-788-8340",
            "fax_number": "517-788-8343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 W WASHINGTON AVE",
            "address_2": "SUITE 105",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012169",
            "telephone_number": "517-788-8340",
            "fax_number": "517-788-8343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIILLIAM A. PATCHAK D.D.S. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PATCHAK",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "517-788-8340",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MI",
            "license": "2901011397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dorothy Whiting
• Craig D Whitmore, DDS
• Elizabeth Jean Wierenga, PA-C
• Robert Wigent
• Grant Evan Wiig, DPM
• Aleksandra Wilanowski, M.D.,
• Andrea N Wilcox
• Barbara Joan Wilcox, PT
• Deborah L Wildenhaus
• Kylie Wildt

• Orthodontics and Dentofacial Orthopedics Dentistry in Jackson, MI
• Providers in Jackson, MI by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.