SDPA MANAGEMENT PLLC


Address: 4915 Jefferson Ave., Midland, MI 48640
Phone: 9896318913

SDPA MANAGEMENT PLLC (NPI# 1407481260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407481260
Entity Type Organization
Organization Name SDPA MANAGEMENT PLLC
Practice Address 4915 Jefferson Ave.
Midland
MI 48640
Mailing Address 7 W Square Lk Rd
Bloomfield Hills
MI 48302
Practice Telephone 9896318913
Practice Fax Number 9896310521
Mailing Telephone 9896000993
Mailing Fax Number 9896310521
Enumeration Date 2020-03-11
Last Update Date 2020-03-11
Authorized Official Name MR. DANIAL REDIFER (CEO)
Authorized Official Telephone 5862129762
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
Dental Providers

Other Provider/Organization Names

Other Name Type Code
Family Dental Center Doing Business As Name - Organization

Office Location

Street Address 4915 JEFFERSON AVE.
City MIDLAND
State MI
Zip Code 48640

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598237364 Michelle Marie Arthur Occupational Therapist 3007 North Saginaw Rd, Midland, MI 48640 2018-12-18
1295202349 Personal Assistance Options Private Vehicle 1509 Washington Street, Suite C, Midland, MI 48640 2018-10-26
1972094720 Ashley E Cline Technician, Other 5405 Oakridge Dr., Midland, MI 48640 2018-05-27
1669963898 Hope Richelle Walker Social Worker 396 S 9 Mile Rd, Midland, MI 48640 2018-05-23
1568964807 David Isaac Bearss Physical Therapist 4401 Campus Ridge Drive, Suite 1000, Midland, MI 48640 2018-03-02
1295237741 Ashley Michelle Ghose Physical Therapist 4401 Campus Ridge Drive Suite 1000, Midland, MI 48640 2018-03-01
1801306055 Elizabeth Diana Dickerson Social Worker 218 Fast Lane Drive, Midland, MI 48640 2017-10-02
1528502275 Sheila Jensen Behavior Technician 248 E Dopp Rd, Midland, MI 48640 2016-12-15
1518328657 Becky Staudacher Technician, Other 707 Mill St, Midland, MI 48640 2016-03-17
1063818698 Stephanie Smith Community Health Worker 878 E Oakridge Ct, Midland, MI 48640 2014-11-10
Find all providers in zip 48640

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548870983 Ben Philip Sylvan Bartlett Dentist 3000 N Garfield St Ste 220, Midland, TX 79705-6417 2020-07-31
1144839622 Ryan Alexander Buda Dentist 2212 S Rankin Hwy Suite E Midland, Texas 79701, Midland, TX 79701 2020-07-30
1649889965 Jess P West Jr. Dentist 12180 Us-601 South, Midland, NC 28107 2020-07-23
1154949915 Diyora Amanova Dentist 2817-b, Loop 250 Frontage Rd, Midland, TX 79705 2020-07-08
1013542455 Josiah Most Dentist 1940 S Badour Rd, Midland, MI 48640-9595 2020-03-05
1932755295 Benjamin P Lievense Dentist 720 W Wackerly St Ste 9, Midland, MI 48640-2769 2019-08-13
1427601582 Mallory Lynne Layman Dentist 414 Veterans Airpark Ln, Midland, TX 79705-4570 2019-07-18
1528531134 Bliss Rankin Dentistry Pllc Dentist 2212 S. Rankin Hwy, Suite E, Midland, TX 79701 2019-01-07
1780153098 Bliss Courtyard Dentistry Pllc Dentist 3209 Courtyard Dr Ste D, Midland, TX 79705-3276 2018-11-15
1659865624 Jatinder Singh Dentist 4400 N Midkiff Rd Ste A-1, Midland, TX 79705-4219 2018-06-21
Find all providers in MIDLAND

Competitor

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City MIDLAND
Zip Code 48640

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Dataset Information

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.

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