Convenient CT PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CONVENIENT CT PC

Practice address

35992 S. Gratiot Ave
Clinton TWP, MI 48035

Phone

(586) 790-7360

Fax

(586) 790-8860

NPI assigned

Jul 10, 2019

Organization subpart

No

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

Authorized official

Name

Sami Maassarani, DDS

Title

President

Phone

(248) 561-9800

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jennifer Persichetti, D.D.S.

  • Dentist
  • Clinton Township, MI
  • NPI 1568811107
  NPD (past)

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

{
    "created_epoch": "1562716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562716800000",
    "number": "1972155950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35992 S. GRATIOT AVE",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "48035",
            "telephone_number": "586-790-7360",
            "fax_number": "586-790-8860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35992 S. GRATIOT AVE",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "48035",
            "telephone_number": "586-790-7360",
            "fax_number": "586-790-8860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONVENIENT CT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-10",
        "last_updated": "2019-07-10",
        "status": "A",
        "authorized_official_last_name": "MAASSARANI",
        "authorized_official_first_name": "SAMI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-561-9800",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jena Leigh Connell
• Deborah Lynn Conrad-Garrisi, PHD, LP, RN
• John Coonan, MALBSW
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• Stacy L Corrado, D.C.
• Colleen Coughlin
• County of Macomb

• General Practice Dentistry in Clinton TWP, MI
• Providers in Clinton TWP, 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 Jul 10, 2019; 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.