Provider Type Icon

FAMILY DENTAL CARE OF DIMONDALE PC NPI 1629088943


NPI Information

NPI: 1629088943
Provider Name: FAMILY DENTAL CARE OF DIMONDALE, PC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

CLIA Number: 23D2207261

Address:
214 N BRIDGE ST
DIMONDALE, MI
ZIP 48821
Phone: (517) 646-8226
Get Directions

FAMILY DENTAL CARE OF DIMONDALE, PC is a general practice dentist in Dimondale, MI. The provider is 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. FAMILY DENTAL CARE OF DIMONDALE, PC NPI is 1629088943. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

214 N BRIDGE ST
DIMONDALE, MI
ZIP 48821-702
Phone: (517) 646-8226
Fax: (517) 646-7545

The provider's authorized official is Timothy M. Bair .
The authorized official title is Secretary/treasurer and has the following contact phone number (517) 646-8226.

The CLIA number assigned to this NPI record is 23D2207261 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/9/2006 and was last updated on 8/20/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice2901014378MICHIGANNo
21223G0001XDentistGeneral Practice2901014382MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.