Deanna M. Poniatowski

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901016438 Issued in MI

Legal business name

DEANNA M. PONIATOWSKI

Doing business as

Crestview Dental

Practice address

46600 Romeo Plank Rd
Suite 1
Macomb, MI 48044-5741

Phone

(586) 226-9000

Fax

(586) 226-3370

NPI assigned

May 29, 2007

Last updated

Aug 7, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Deanna M Poniatowski, D.D,S.NPI 1447452388

Title

President

Phone

(586) 226-9000

Specialties & licenses 1

Addresses

Other names 1

• Crestview 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, and the practitioner matching its NPPES authorized official.

• Deanna M Poniatowski, D.D.S.

  • General Practice Dentistry
  • Macomb, MI
  • NPI 1447452388
  NPD (past) Authorized official

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218067200000",
    "number": "1952502817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46600 ROMEO PLANK RD",
            "address_2": "SUITE 1",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480445741",
            "telephone_number": "586-226-9000",
            "fax_number": "586-226-3370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46600 ROMEO PLANK RD",
            "address_2": "SUITE 1",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480445741",
            "telephone_number": "586-226-9000",
            "fax_number": "586-226-3370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEANNA M. PONIATOWSKI",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2008-08-07",
        "status": "A",
        "authorized_official_last_name": "PONIATOWSKI",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-226-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D,S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901016438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crestview Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David M Kolakowski DDS PC
• David R Mandy DO, PC
• Julia Davis, PT, DPT
• Rebecca Davis
• Roni Dawood
• Dearborn Physical Therapy LTD (Advanced Physical Therapy)
• Ashley Marie Decaluwe, DO
• Dominique Delcourt, NP
• Alison Demetrakeas, PA-C
• Karen L Demsich, RPH

• General Practice Dentistry in Macomb, MI
• Providers in Macomb, 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 Aug 7, 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.