Organization Active NPI

Persichetti Dental PLLC

  • General Practice Dentistry
  • Clinton Township, MI
National Provider Identifier
1972286664
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PERSICHETTI DENTAL PLLC
Practice address
41570 Hayes Rd Ste F
Clinton Township, MI 48038-5819
Phone
(248) 252-7551
NPI assigned
Aug 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Authorized official

Name
Jennifer Persichetti, DDSNPI 1568811107
Title
Owner
Phone
(248) 252-7551

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

41570 Hayes Rd Ste F
Clinton Township, MI 48038-5819

Mailing address

41570 Hayes Rd Ste F
Clinton Township, MI 48038-5819
Phone (248) 252-7551

National Provider Directory

National Provider Directory

Locations

41570 Hayes Rd
Ste F
Clinton Township, MI 48038
Phone (248) 252-7551

Practitioners & affiliated clinicians

Practitioners 1

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": "1691539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691539200000",
    "number": "1972286664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41570 HAYES RD STE F",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480385819",
            "telephone_number": "248-252-7551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41570 HAYES RD STE F",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480385819",
            "telephone_number": "248-252-7551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSICHETTI DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-09",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A",
        "authorized_official_last_name": "PERSICHETTI",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-252-7551",
        "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": []
}

Other providers in Clinton Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; 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.