Euclid Dental Clinic PLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11981 Issued in MI

Legal business name

EUCLID DENTAL CLINIC PLC

Practice address

800 S Euclid Ave
Suite 1
Bay City, MI 48706-3355

Phone

(989) 686-2860

NPI assigned

Mar 11, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth E. Nelson, D.D.S.

Title

Owner

Phone

(989) 686-2860

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1268265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268265600000",
    "number": "1962725432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S EUCLID AVE",
            "address_2": "SUITE 1",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487063355",
            "telephone_number": "989-686-2860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S EUCLID AVE",
            "address_2": "SUITE 1",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487063355",
            "telephone_number": "989-686-2860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUCLID DENTAL CLINIC PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-11",
        "last_updated": "2010-03-11",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-686-2860",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "11981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Erdody
• Mallory Marie Erndt
• Amanda Lynn Espinoza, LLMSW, CAADC
• Katie Suzanne Estelle, LMSW
• Venkata Sai Sheshu Kumar Etha
• Euclid Medial Group PC
• Euclid Medical Group PC
• Euclid Pharmacy LLC
• Arlene Eugenio
• Eunoia Therapy Collective PLLC

• General Practice Dentistry in Bay City, MI
• Providers in Bay City, 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 Mar 11, 2010; 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.