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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
Other Name | Type Code |
---|---|
Family Dental Center | Doing Business As Name - Organization |
Street Address |
4915 JEFFERSON AVE. |
City | MIDLAND |
State | MI |
Zip Code | 48640 |
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 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 |
---|---|---|---|---|
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 |
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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.