Grayling Family Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901012552 Issued in MI

Legal business name

GRAYLING FAMILY DENTISTRY

Practice address

1664 Hartwick Pines Rd
Grayling, MI 49738-9237

Phone

(989) 348-4300

Fax

(989) 344-8055

NPI assigned

May 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Charles Thomas Riegle, DDS

Title

Owner

Phone

(989) 348-4300

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1992912802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1664 HARTWICK PINES RD",
            "city": "GRAYLING",
            "state": "MI",
            "postal_code": "497389237",
            "telephone_number": "989-348-4300",
            "fax_number": "989-344-8055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1664 HARTWICK PINES RD",
            "city": "GRAYLING",
            "state": "MI",
            "postal_code": "497389237",
            "telephone_number": "989-348-4300",
            "fax_number": "989-344-8055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAYLING FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "RIEGLE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-348-4300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901012552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Lynne Glasser-Edwards, PA-C
• Alexis Gabrielle Golzer
• Grayling Anesthesia Associates PC
• Grayling Dental PC
• Grayling Eye Care, LLC
• Grayling Family Practice Clinic
• Grayling Pharmacy Inc
• Vickie Lynn Green, MA, LPC
• Nestor Mendoza Guno, MD
• Bobbi Dare Gusler, DNP

• General Practice Dentistry in Grayling, MI
• Providers in Grayling, 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 Jun 18, 2008; 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.