Organization Active NPI

Allan J. Oleinick D.D.S P.C.

  • General Practice Dentistry
  • Saint Clair Shores, MI
National Provider Identifier
1972718872
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901013562 Issued in MI
Legal business name
ALLAN J. OLEINICK D.D.S P.C.
Practice address
25915 Harper Ave
Suite F
Saint Clair Shores, MI 48081-3770
Phone
(586) 776-5945
Fax
(586) 776-5948
NPI assigned
May 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Allan Jeffrey Oleinick, D.D.S.NPI 1629288469
Title
President
Phone
(586) 776-5945

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 2901013562 MI Primary

Addresses

Primary practice location

25915 Harper Ave
Suite F
Saint Clair Shores, MI 48081-3770

Mailing address

25915 Harper Ave
Suite F
Saint Clair Shores, MI 48081-3770
Phone (586) 776-5945

National Provider Directory

National Provider Directory

Locations

25915 Harper Ave
Ste F
Saint Clair Shores, MI 48081
Phone (586) 776-5945

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": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972718872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25915 HARPER AVE",
            "address_2": "SUITE F",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480813770",
            "telephone_number": "586-776-5945",
            "fax_number": "586-776-5948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25915 HARPER AVE",
            "address_2": "SUITE F",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480813770",
            "telephone_number": "586-776-5945",
            "fax_number": "586-776-5948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLAN J. OLEINICK D.D.S P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OLEINICK",
        "authorized_official_first_name": "ALLAN",
        "authorized_official_middle_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-776-5945",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901013562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clair Shores, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.