MICHIGAN RESTORATIVE INSTITUTE, PLLC (NPI# 1871141093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871141093 |
| Entity Type | Organization |
| Organization Name | MICHIGAN RESTORATIVE INSTITUTE, PLLC |
| Practice Address |
4036 24th Ave Fort Gratiot MI 48059-3800 |
| Mailing Address |
8096 Wimbledon Dr Portage MI 49024-7807 |
| Practice Telephone | 8103859766 |
| Practice Fax Number | 8109908403 |
| Mailing Telephone | 2692176442 |
| Enumeration Date | 2019-08-30 |
| Last Update Date | 2019-08-30 |
| Authorized Official Name | MICHAEL SCHAAF (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 2692176442 |
| 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 |
|---|---|
| New Era Dental | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 26776 W 12 Mile Rd, Southfield, MI 480347807 | 2483565520 | 2483562568 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356811756 | Michigan Restorative Institute, Pllc | Dentist | 4036 24th Ave, Fort Gratiot, MI 48059-3800 | 2018-11-28 |
| Street Address |
4036 24TH AVE |
| City | FORT GRATIOT |
| State | MI |
| Zip Code | 48059-3800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366488330 | Celeste Ruhia Cornell-valdes | Dentist | 4036 24th Ave, Fort Gratiot, MI 48059-3800 | 2006-06-20 |
| 1356811756 | Michigan Restorative Institute, Pllc | Dentist | 4036 24th Ave, Fort Gratiot, MI 48059-3800 | 2018-11-28 |
| 1528443363 | Valcor Dental Center PC | Dentist | 4036 24th Ave, Fort Gratiot, MI 48059-3800 | 2015-07-22 |
| 1073891727 | Lindsey J Adams | Dentist | 4036 24th Ave, Fort Gratiot, MI 48059-3800 | 2011-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679096374 | Rebecca Campau | Registered Nurse | 4985 Lakeshore Rd, Fort Gratiot, MI 48059 | 2017-07-25 |
| 1598175481 | David Kelley Sr. | Pharmacist | 4475 24th Ave., Fort Gratiot, MI 48059 | 2014-05-01 |
| 1316110968 | Apheresis and Transfusion Medicine of Port Huron Pllc | Pathology | 4970 Lakeshore Road, Fort Gratiot, MI 48059 | 2008-04-03 |
| 1275754152 | Jennifer Ann Peyerk | Physical Therapist | 3902 Arlington Ave., Fort Gratiot, MI 48059 | 2007-05-01 |
| 1013097278 | Randy John Plonka | Internal Medicine | 5979 Lakeshore, Ft Gratiot, MI 48059 | 2006-10-16 |
| 1881708428 | John Nathan Seppo | Social Worker | 3847 Pine Grove Avenue, Fort Gratiot, MI 48059 | 2006-08-19 |
| 1396756615 | Blue Water Family Dentistry PC | Dentist | 4044 24th Ave, Fort Gratiot, MI 48059 | 2006-08-11 |
| 1720018823 | Minden City Community Healthcare Outreach | Clinic/Center | 28 Deer Creek Drive, Fort Gratiot, MI 48059 | 2006-07-04 |
| 1982103966 | Luke Michael Privette | Physical Therapist | 4351 24th Ave Ste 1, Fort Gratiot, MI 48059 | 2018-02-06 |
| 1194115352 | Rachel Brooks | Chiropractor | 2844 Krafft Rd, Fort Gratiot, MI 48059 | 2015-01-27 |
| Find all providers in zip 48059 | ||||
| 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 |
|---|---|---|---|---|
| 1841497179 | Katie Eileen Johnston | Dentist | 3968 Pine Grove Ave, Fort Gratiot, MI 48059-4218 | 2007-06-29 |
| 1437377728 | James Richard Brooks | Dentist | 2844 Krafft Rd, Fort Gratiot, MI 48059-3944 | 2007-04-23 |
| 1366488330 | Celeste Ruhia Cornell-valdes | Dentist | 4036 24th Ave, Fort Gratiot, MI 48059-3800 | 2006-06-20 |
| 1528443363 | Valcor Dental Center PC | Dentist | 4036 24th Ave, Fort Gratiot, MI 48059-3800 | 2015-07-22 |
| 1952791949 | Scott Nigl Dental PC | Dentist | 4216 24th Ave, Ste 100, Fort Gratiot, MI 48059-3880 | 2015-01-28 |
| 1073891727 | Lindsey J Adams | Dentist | 4036 24th Ave, Fort Gratiot, MI 48059-3800 | 2011-07-29 |
| 1033407242 | Adrian Shather Forbes | Dentist | 4044 24th Ave, Fort Gratiot, MI 48059-3800 | 2011-07-21 |
| 1265589014 | Ronald Tosto | Dentist | 4044 24th Ave, Fort Gratiot, MI 48059-3800 | 2007-01-04 |
| 1851448609 | W. Scott Meyer | Dentist | 4044 24th Ave, Fort Gratiot, MI 48059-3800 | 2007-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336749522 | Berman Family Dentistry Pllc | Dentist | 9430 S Main St Ste 1, Plymouth, MI 48170-4149 | 2020-10-28 |
| 1821696956 | Dream Dental Group Pllc | Dentist | 9600 Commerce Rd, Commerce Twp, MI 48382-4111 | 2020-10-12 |
| 1629675020 | Superior Family Dental | Dentist | 425 W Huron St Ste 140, Milford, MI 48381-2243 | 2020-10-08 |
| 1255948790 | Jamie L Hafke Dds Pllc | Dentist | 1955 N Pontiac Trl, Walled Lake, MI 48390-3157 | 2020-09-29 |
| 1942817812 | Maria Edith Cserhalmi | Dentist | 20618 Harper Ave., Harper Woods, MI 48225-1429 | 2020-09-25 |
| 1649886748 | Advanced Family Dentistry-plymouth Pllc | Dentist | 44644 Ann Arbor Rd W Ste F, Plymouth, MI 48170-4089 | 2020-09-23 |
| 1396351045 | Sandra Alias | Dentist | 27828 Westcott Crescent Cir, Farmington Hills, MI 48334-5314 | 2020-09-18 |
| 1265047641 | Michigan Implant Dental Center | Dentist | 28701 Plymouth Rd Ste B, Livonia, MI 48150-2421 | 2020-09-11 |
| 1366057929 | Dr. Leigh Ellen Snyder Dds | Dentist | 16869 E 14 Mile Rd, Fraser, MI 48026-2239 | 2020-09-10 |
| 1215541305 | Kevin P Cooper Dds PC | Dentist | 202 Brady Street, Sault Sainte Marie, MI 49783 | 2020-09-04 |
| Find all providers with the same taxonomy | ||||
| City | FORT GRATIOT |
| Zip Code | 48059 |
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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.