Organization Active NPI

Michigan's Dental Health Professional

  • Dentist
  • Sterling HTS, MI
National Provider Identifier
1952666117
Registry record updated Jul 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901016810 Issued in MI
Legal business name
MICHIGAN'S DENTAL HEALTH PROFESSIONAL
Practice address
42370 Van Dyke Ave Suite 101
Sterling HTS, MI 48314
Phone
(586) 254-3860
Fax
(586) 254-6575
NPI assigned
Jul 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2012

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

Authorized official

Name
Bruno A. Giglio, D.D.S.NPI 1669577599
Title
Owner
Phone
(586) 254-3860

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 2901016810 MI Primary

Addresses

Primary practice location

42370 Van Dyke Ave Suite 101
Sterling HTS, MI 48314

Mailing address

42370 Van Dyke Ave Suite 101
Sterling HTS, MI 48314
Phone (586) 254-3860

National Provider Directory

National Provider Directory

Locations

4515 Metropolitan Pkwy
Sterling Heights, MI 48310
Phone (586) 254-3860

42370 Van Dyke Ave
Ste 101
Sterling Hts, MI 48314
Phone (586) 254-3860

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1342051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342051200000",
    "number": "1952666117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42370 VAN DYKE AVE SUITE 101",
            "city": "STERLING HTS",
            "state": "MI",
            "postal_code": "48314",
            "telephone_number": "586-254-3860",
            "fax_number": "586-254-6575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42370 VAN DYKE AVE SUITE 101",
            "city": "STERLING HTS",
            "state": "MI",
            "postal_code": "48314",
            "telephone_number": "586-254-3860",
            "fax_number": "586-254-6575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN'S DENTAL HEALTH PROFESSIONAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-12",
        "last_updated": "2012-07-12",
        "status": "A",
        "authorized_official_last_name": "GIGLIO",
        "authorized_official_first_name": "BRUNO",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-254-3860",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901016810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling HTS, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2012; 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.