MICHIGAN DENTAL PC (NPI# 1215402383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215402383 |
| Entity Type | Organization |
| Organization Name | MICHIGAN DENTAL PC |
| Practice Address |
4626 W Walton Blvd Waterford MI 48329-3535 |
| Practice Telephone | 2486740384 |
| Practice Fax Number | 2486741483 |
| Mailing Telephone | 2486740384 |
| Mailing Fax Number | 2486741483 |
| Enumeration Date | 2018-10-04 |
| Last Update Date | 2018-10-04 |
| Authorized Official Name | AMANDA MARIE SHEEHAN (OWNER) |
| Authorized Official Telephone | 2486740384 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
4626 W WALTON BLVD |
| City | WATERFORD |
| State | MI |
| Zip Code | 48329-3535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386938561 | Amanda Marie Sheehan | Dentist | 4626 W Walton Blvd, Waterford, MI 48329-3535 | 2011-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386124139 | Melissa A Blake | Occupational Therapist | 3257 Whitfield Ct, Waterford, MI 48329 | 2018-08-20 |
| 1932699741 | Julianne Marie Fittonneville | Counselor | 4000 W Walton Blvd Ste A&b, Waterford, MI 48329 | 2018-05-16 |
| 1730615717 | Innovative Lifestyles, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5490 Dixie Hwy, Suite 1, Waterford, MI 48329 | 2017-05-11 |
| 1841670502 | Kayla Brianne Dandino | Speech-Language Pathologist | 5601 Hatchery Rd., Waterford Township, MI 48329 | 2015-06-08 |
| 1093122400 | Caring 4 Loved Ones, Inc | Registered Nurse | 3549 Lakeshore Dr., Waterford, MI 48329 | 2014-07-17 |
| 1124448329 | Michael Alan Watson | Emergency Medicine | 5826 Dixie Hwy, Waterford Township, MI 48329 | 2014-04-27 |
| 1417263120 | Metro Imaging Center Plc | Dentist | 4664 W. Walton Blvd., Waterford, MI 48329 | 2010-08-19 |
| 1225278013 | S.e.t. Footcare, P.C. | Podiatrist | 4396-1 Dixie Hwy, Waterford, MI 48329 | 2009-03-06 |
| 1962556498 | Mark Andrew Laszlo | Dentist | 4624 Walton Blvd, Waterford, MI 48329 | 2007-01-22 |
| 1437211927 | Pankajini N Doshi | Pediatrics | 4299 Roseberry Ct, Waterford, MI 48329 | 2006-12-14 |
| Find all providers in zip 48329 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891206421 | Travis Lynell Thomas | Dentist | 909 Hartford Tpke Ste D5, Waterford, CT 06385-4267 | 2017-10-23 |
| 1578083200 | Alexander Joseph Alkass | Dentist | 1132 Voorheis Rd, Waterford, MI 48328-3944 | 2017-06-23 |
| 1578916557 | Stephen Hendricks | Dentist | 5531 Brunswick Blvd, Waterford, MI 48327-2511 | 2016-07-14 |
| 1487900312 | Jeffrey W. Miller | Dentist | 5695 Dixie Hwy, Waterford, MI 48329-1619 | 2012-07-30 |
| 1710208053 | Shane Terry Davidson | Dentist | 5574 Cooley Lake Road, Waterford, MI 48327 | 2010-06-22 |
| 1144492067 | Wayne Eric Pickett | Dentist | 5574 Cooley Lake Rd, Waterford, MI 48327-3015 | 2008-04-01 |
| 1942496278 | Mark Laszlo, Dds, PC | Dentist | 4624 W Walton Blvd, Suite B, Waterford, MI 48329-3566 | 2007-09-20 |
| 1750501854 | Timothy Jm Kaercher | Dentist | 32 Broad Street, Waterford, NY 12188-2414 | 2007-04-30 |
| 1558586636 | George Lim Poy Jr. | Dentist | 7096 Highland Rd, Waterford, MI 48327-1502 | 2007-04-16 |
| 1427170034 | David A Wright | Dentist | 4152 Sashabaw Rd, Waterford, MI 48329-1953 | 2007-04-04 |
| Find all providers in WATERFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.