VMLP Ah PLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

20509 Issued in MI

Legal business name

VMLP AH PLC

Practice address

4929 South Baldwin Rd
Ste 104
Lake Orion, MI 48359

Phone

(248) 221-1743

Fax

(248) 393-3228

NPI assigned

Apr 21, 2016

Organization subpart

No

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

Authorized official

Name

Jason Bertollini

Title

PRS

Phone

(866) 273-8204

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Jannelle Morad, DMD

  • Dentist
  • Lake Orion, MI
  • NPI 1164318531
  NPD (past)
• Matthew Joseph Nye, DDS

  • Dentist
  • Detroit, MI
  • NPI 1982125068

  General Practice

  NPD (past)

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

{
    "created_epoch": "1461196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461196800000",
    "number": "1952755498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3189",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132203189",
            "telephone_number": "866-273-8204",
            "fax_number": "315-410-5531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4929 SOUTH BALDWIN RD",
            "address_2": "STE 104",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "48359",
            "telephone_number": "248-221-1743",
            "fax_number": "248-393-3228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VMLP AH PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-21",
        "last_updated": "2016-04-21",
        "status": "A",
        "authorized_official_last_name": "BERTOLLINI",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PRS",
        "authorized_official_telephone_number": "866-273-8204"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "20509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmella Josephine Venturini, FNP-C
• Lynne Katherine Versace, RN
• Kyle Vires
• Visionworks Inc. (Visionworks)
• Audrey Vizzaccaro, P.A.-C.
• Mary Jo K Voelpel, D.O.
• Gita K Vora, MD
• Walgreen Co (Walgreens #09251)
• Walgreen Co (Walgreens #05675)
• Ehsan Wali

• General Practice Dentistry in Lake Orion, MI
• Providers in Lake Orion, 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 Apr 21, 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.