DAVISON FAMILY DENTISTRY, P.C. (NPI# 1033589734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033589734 |
| Entity Type | Organization |
| Organization Name | DAVISON FAMILY DENTISTRY, P.C. |
| Other Organization Name | IRISH ROAD DENTAL |
| Practice Address |
1058 N Irish Rd Davison MI 48423-2209 |
| Mailing Address |
1090 Northchase Pkwy Se Ste 150 Marietta GA 30067-6405 |
| Practice Telephone | 8106534100 |
| Mailing Telephone | 7709165031 |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2015-10-07 |
| Authorized Official Name | JOHN WILTZ (PRESIDENT) |
| Authorized Official Telephone | 7709165031 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers | ||
| N | 122300000X | Dentist | Dental Providers | ||
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers | ||
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers | ||
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Irish Road Dental | Doing Business As Name - Organization |
| Street Address |
1058 N IRISH RD |
| City | DAVISON |
| State | MI |
| Zip Code | 48423-2209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033207139 | David Lee Ewing | Dentist | 1058 N Irish Rd, Davison, MI 48423-2209 | 2006-10-11 |
| 1609438548 | Davison Family Dentistry | Durable Medical Equipment & Medical Supplies | 1058 N Irish Rd, Davison, MI 48423-2209 | 2019-07-01 |
| 1184793069 | John Whitmore Wiltz | Dentist | 1058 N Irish Rd, Davison, MI 48423-2209 | 2006-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598258105 | Davison Medical Practice Plc | Internal Medicine | 1260 N Irish Rd Ste B, Davison, MI 48423 | 2018-06-08 |
| 1760911036 | Davison Care N Assist | Meals | 1044 North Irish, Davison, MI 48423 | 2017-06-08 |
| 1518499839 | Angela Dunscombe | Assistant Behavior Analyst | 370 Carol Mary Ln, Davison, MI 48423 | 2017-03-28 |
| 1932572849 | Terria Kurtz | Social Worker | 501 Davison Rd, Davison, MI 48423 | 2015-11-02 |
| 1821465139 | Teresa Marshall | Registered Nurse | 832 Groten Drive, Davison, MI 48423 | 2015-08-24 |
| 1821478132 | Phyllis Ann Stoutenberg | Massage Therapist | 105 E. Second St., Suite 2, Davison, MI 48423 | 2015-06-02 |
| 1760869713 | Aimee Vakula-rollins, D.d.s., Pllc | Dentist | 1044 N. Irish Rd, Suite B, Davison, MI 48423 | 2015-04-29 |
| 1841681459 | Pamela Linn | Counselor | 501 W. Flint St Suite A, Davison, MI 48423 | 2015-02-18 |
| 1740684232 | Dustin Doren | Physical Therapist | 1410 Pondview Dr, Davison, MI 48423 | 2014-10-14 |
| 1982032132 | Sadie Adams | Speech-Language Pathologist | 9100 Lapeer Road Suite C, Davison, MI 48423 | 2013-10-25 |
| Find all providers in zip 48423 | ||||
| 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 |
|---|---|---|---|---|
| 1760869713 | Aimee Vakula-rollins, D.d.s., Pllc | Dentist | 1044 N. Irish Rd, Suite B, Davison, MI 48423 | 2015-04-29 |
| 1528266699 | Emily Rose Varsanik | Dentist | 1049 S State Rd, Davison, MI 48423-1903 | 2007-07-10 |
| 1972646040 | Ronald A Williams | Dentist | 2046 S State Rd, Suite A, Davison, MI 48423-8671 | 2007-02-15 |
| 1073652509 | Aimee Denise Vakula-rollins | Dentist | 1044 N Irish Rd, Suite B, Davison, MI 48423-2209 | 2007-02-05 |
| 1033207139 | David Lee Ewing | Dentist | 1058 N Irish Rd, Davison, MI 48423-2209 | 2006-10-11 |
| 1336176932 | Ralph J Becker | Dentist | 7007 Davison Rd, Davison, MI 48423 | 2006-06-27 |
| 1780628248 | David Kipling Litton | Dentist | 1095 S State Rd, Davison, MI 48423-1933 | 2006-06-15 |
| 1871100982 | Andrea Alexis Callaway | Dentist | 9096 Davison Rd, Davison, MI 48423-1037 | 2020-09-23 |
| 1184793069 | John Whitmore Wiltz | Dentist | 1058 N Irish Rd, Davison, MI 48423-2209 | 2006-11-07 |
| 1104914910 | William M Kane | Dentist | 604 S Main St, Davison, MI 48423-1814 | 2006-10-10 |
| Find all providers in DAVISON | ||||
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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.