Organization Active NPI

Millington Dental PC

  • Dentist
  • Millington, MI
National Provider Identifier
1942475157
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
MILLINGTON DENTAL PC
Practice address
4696 East Main
Millington, MI 48746
Phone
(989) 871-3291
Fax
(989) 871-4583
NPI assigned
Apr 29, 2008
Last updated
Apr 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2008

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

Authorized official

Name
Dr. Joseph Anthony Vella
Title
Dentist Owner
Phone
(989) 871-3291

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

4696 East Main
Millington, MI 48746

Mailing address

4696 East Main
Millington, MI 48746
Phone (989) 871-3291

Other identifiers 1

IdentifierTypeStateIssuer
3252182 TYPE12MedicaidMI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1942475157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4696 EAST MAIN",
            "city": "MILLINGTON",
            "state": "MI",
            "postal_code": "48746",
            "telephone_number": "989-871-3291",
            "fax_number": "989-871-4583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4696 EAST MAIN",
            "city": "MILLINGTON",
            "state": "MI",
            "postal_code": "48746",
            "telephone_number": "989-871-3291",
            "fax_number": "989-871-4583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLINGTON DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "VELLA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "989-871-3291",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3252182 TYPE12",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Millington, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.