GARY M FITENY (NPI# 1619934510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619934510 |
| Entity Type | Individual |
| Full Name | GARY M FITENY |
| Credential | DDS PC |
| Practice Address |
8080 Ortonville Rd Suite A Clarkston MI 48348-4456 |
| Mailing Address |
5635 Sashabaw Rd Suite A Clarkston MI 48346-3149 |
| Practice Telephone | 2486202933 |
| Practice Fax Number | 2486205055 |
| Mailing Telephone | 2486202933 |
| Mailing Fax Number | 2486205055 |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2016-03-09 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2901015504 | MI | Dental Providers |
| Street Address |
8080 ORTONVILLE RD SUITE A |
| City | CLARKSTON |
| State | MI |
| Zip Code | 48348-4456 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548100 | Grey Street Counseling and Wellness Center, LLC | Counselor | 314 Moonlite Court, Clarkston, MI 48348 | 2020-11-06 |
| 1134787906 | Claudia Maryann Beauvais | Peer Specialist | 4533 Sedona Dr, Clarkston, MI 48348 | 2019-06-05 |
| 1669965299 | Wellbridge of Clarkston, LLC | Skilled Nursing Facility | 5655 Clarkston Road, Independence Township, MI 48348 | 2018-06-08 |
| 1164794251 | Kong C. Choi | Family Medicine | 8324 Caribou Trl., Clarkston, MI 48348 | 2012-02-03 |
| 1447587753 | Carrie Ann Schlicht | Occupational Therapist | 7508 Mecad Boulevard, Suite A, Clarkston, MI 48348 | 2009-11-06 |
| 1740424290 | Nedra Gean Downing | General Practice | 5715 Bella Rose Blvd., Ste 100, Clarkston, MI 48348 | 2009-04-28 |
| 1467600528 | Brian Davidson Dds PC | Dentist | 5720 Clarkston Road, Clarkston, MI 48348 | 2008-09-03 |
| 1962624957 | Keri Sue Hickmott | Social Worker | 9340 Dixie Highway, Clarkston, MI 48348 | 2007-05-02 |
| 1720209273 | Linda Carole Gualdoni | Physical Therapist | 7508 M.e. Cad Blvd., Suite A, Clarkston, MI 48348 | 2007-05-01 |
| 1396964466 | David William Regiani | Dentist | 10435 Ortonville Road, Suite B, Clarkston, MI 48348 | 2007-04-25 |
| Find all providers in zip 48348 | ||||
| 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 |
|---|---|---|---|---|
| 1164950440 | Matthew Bryson Thomas | Dentist | 6080 Dixie Hwy Ste A, Clarkston, MI 48346-3493 | 2017-05-31 |
| 1366758633 | Thomas Joseph Rydzon | Dentist | 7024 Scenic Rdg, Clarkston, MI 48346-1345 | 2010-08-25 |
| 1790956530 | Thu D. Vu | Dentist | 3596 Hill Street, Clarkston, GA 30021 | 2008-03-20 |
| 1790953818 | Janet Binkowski | Dentist | 6100 Dixie Hwy Ste A, Clarkston, MI 48346-3496 | 2008-02-11 |
| 1548481849 | Brian Paul Davidson | Dentist | 5720 Clarkston Rd, Clarkston, MI 48348-3715 | 2007-05-02 |
| 1780740712 | Scott W Joslin | Dentist | 844 6th St, Clarkston, WA 99403-2013 | 2006-12-27 |
| 1366500118 | Clarkston Oaks Family Dentistry | Dentist | 6100 Dixie Hwy, #a, Clarkston, MI 48346-3496 | 2006-12-05 |
| 1922176528 | Raymond A Waller | Dentist | 1303 16th Ave, Clarkston, WA 99403-2956 | 2006-12-01 |
| 1700958006 | Robert Marc Kleiner | Dentist | 4122 E Ponce De Leon Ave, Suite #5, Clarkston, GA 30021-1838 | 2006-11-14 |
| 1548339575 | Best Care Dental Inc. | Dentist | 3700 Market St Ste A2, Clarkston, GA 30021-2652 | 2006-11-06 |
| Find all providers in CLARKSTON | ||||
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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.