National Dentex LLC

Primary specialty

Dental LaboratoryTaxonomy code 292200000X

Legal business name

NATIONAL DENTEX LLC

Practice address

5830 Crossroads Commerce Pkwy SW
Wyoming, MI 49519-9572

Phone

(616) 261-9191

NPI assigned

Dec 12, 2023

Organization subpart

No

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

Authorized official

Name

Miguel Fonseca

Title

Sr. Global Dir. Compliance & Safety

Phone

(786) 717-1055

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1702339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702339200000",
    "number": "1972371631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 PGA BLVD STE 700",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334106560",
            "telephone_number": "786-717-1055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5830 CROSSROADS COMMERCE PKWY SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495199572",
            "telephone_number": "616-261-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL DENTEX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-12",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A",
        "authorized_official_last_name": "FONSECA",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_title_or_position": "SR. GLOBAL DIR. COMPLIANCE & SAFETY",
        "authorized_official_telephone_number": "786-717-1055"
    },
    "taxonomies": [
        {
            "code": "292200000X",
            "taxonomy_group": "",
            "desc": "Dental Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Laboratory in Wyoming, MI
• Providers in Wyoming, MI by specialty
• Dental Laboratory in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.