Provider Type Icon

MID MICHIGAN DENTAL IMPLANT CENTER PC NPI 1992204952


NPI Information

NPI: 1992204952
Provider Name: MID MICHIGAN DENTAL IMPLANT CENTER, PC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

CLIA Number: 23D2027758

Address:
800 N STATE ST STE 151
STANTON, MI
ZIP 48888
Phone: (866) 438-6464
Get Directions

MID MICHIGAN DENTAL IMPLANT CENTER, PC is a general practice dentist in Stanton, 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. MID MICHIGAN DENTAL IMPLANT CENTER, PC NPI is 1992204952. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

800 N STATE ST STE 151
STANTON, MI
ZIP 48888-708
Phone: (866) 438-6464
Fax: (989) 831-9020

The provider's authorized official is David Lee Dockham .
The authorized official title is President and has the following contact phone number (866) 438-6464.

The CLIA number assigned to this NPI record is 23D2027758 - public health laboratories with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/6/2018 and was last updated on 2/6/2018.


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
1122300000XDentist2901013734MICHIGANNo
21223G0001XDentistGeneral PracticeMICHIGANYes

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.