Organization Active NPI

First Class Family Dentistry C

  • Dental Clinic/Center
  • Sandusky, MI
National Provider Identifier
1972311355
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
FIRST CLASS FAMILY DENTISTRY C
Practice address
30 Dawson St
Sandusky, MI 48471-1032
Phone
(586) 800-7626
NPI assigned
Dec 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Authorized official

Name
Ms. Ra Long
Title
Director of Operations
Phone
(586) 500-7626

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

30 Dawson St
Sandusky, MI 48471-1032

Mailing address

30 Dawson St
Sandusky, MI 48471-1032

National Provider Directory

National Provider Directory

Locations

30 Dawson St
Sandusky, MI 48471
Phone (586) 800-7626

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": "1734480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734480000000",
    "number": "1972311355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 DAWSON ST",
            "city": "SANDUSKY",
            "state": "MI",
            "postal_code": "484711032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 DAWSON ST",
            "city": "SANDUSKY",
            "state": "MI",
            "postal_code": "484711032",
            "telephone_number": "586-800-7626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CLASS FAMILY DENTISTRY C",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-18",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "RA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "586-500-7626",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandusky, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; 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.