AO OF MT MORRIS PLLC (NPI# 1043855943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043855943 |
| Entity Type | Organization |
| Organization Name | AO OF MT MORRIS PLLC |
| Practice Address |
8326 N Saginaw Rd Mount Morris MI 48458-1648 |
| Mailing Address |
3456 Shattuck Rd Ste 4 Saginaw MI 48603-7003 |
| Practice Telephone | 8106875040 |
| Mailing Telephone | 9897928315 |
| Enumeration Date | 2019-11-14 |
| Last Update Date | 2019-11-14 |
| Authorized Official Name | DONALD J SABOURIN (OWNER/DENTIST) |
| Authorized Official Telephone | 9897928315 |
| Authorized Official Credential | DDS |
| 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 |
|---|---|
| My Forever Smile Mt Morris | Doing Business As Name - Organization |
| Street Address |
8326 N SAGINAW RD |
| City | MOUNT MORRIS |
| State | MI |
| Zip Code | 48458-1648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538358759 | Maya Shantikumar | Dentist | 8326 N Saginaw Rd, Mount Morris, MI 48458-1648 | 2007-10-24 |
| 1205335353 | Michelle Marie David | Dental Hygienist | 8326 N Saginaw Rd, Mount Morris, MI 48458-1648 | 2018-02-05 |
| 1235638586 | Jill A Susalla | Dental Hygienist | 8326 N Saginaw Rd, Mount Morris, MI 48458-1648 | 2018-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194260364 | Lisa Marie Sarno | Social Worker | 6655 Neff Road, Mount Morris, MI 48458 | 2016-12-27 |
| 1336699958 | Mandy Marie Lyon | Nurse Practitioner | 6655 Neff Rd, Mount Morris, MI 48458 | 2016-10-06 |
| 1083161624 | Khelsey Jefferson | Technician, Other | G6190 North Dort Hwy, Mount Morris, MI 48458 | 2016-09-01 |
| 1467908731 | Kim Baxter | Technician, Other | 1218 W Stanley Road, Mt Morris, MI 48458 | 2016-08-28 |
| 1972989671 | Sharon Cantrell | Driver | 1110 Maginn Ct, Mount Morris, MI 48458 | 2015-08-04 |
| 1437585627 | Louis A Shaheen | Dentist | G9171 North Saginaw St., Mt. Morris, MI 48458 | 2013-09-19 |
| 1992015853 | Makali Inc | Pharmacy | G-6061 N Saginaw St, Mt. Morris, MI 48458 | 2010-10-13 |
| 1982833422 | American Medical Missionary Care | Family Medicine | G-6061 N. Saginaw St., Mt. Morris, MI 48458 | 2009-07-06 |
| 1134383011 | Beecher Pharmacy LLC | Pharmacy | G 6061 N Saginaw St, Mount Morris, MI 48458 | 2008-07-10 |
| 1316022999 | Daniel Reuben Gotlib | Dentist | G-6061 North Saginaw Rd, Mount Morris, MI 48458 | 2006-10-25 |
| Find all providers in zip 48458 | ||||
| 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 |
|---|---|---|---|---|
| 1235305616 | Raymond S Shegos | Dentist | 752 Saint Mary St, Mount Morris, MI 48458-2249 | 2008-05-05 |
| 1376674218 | R. Gregory Montgomery | Dentist | 120 Locust Avenue Extention, Mount Morris, PA 15349 | 2007-03-09 |
| 1316022999 | Daniel Reuben Gotlib | Dentist | G-6061 North Saginaw Rd, Mount Morris, MI 48458 | 2006-10-25 |
| 1386058550 | Gabriel Proulx | Dentist | 1 Murray Hill Dr, Building #1, Room 140, Mount Morris, NY 14510-1153 | 2014-06-16 |
| 1376753558 | Dr. Donald B. Munger Dds,pc | Dentist | 128 Main St, Mount Morris, NY 14510-1504 | 2007-05-23 |
| 1437363819 | James Raymond Williams IIi | Dentist | 11610 N Saginaw St, Mount Morris, MI 48458-2021 | 2007-05-09 |
| 1992831499 | Donald Barton Munger | Dentist | 128 Main St, Mount Morris, NY 14510-1504 | 2007-02-26 |
| 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 | MOUNT MORRIS |
| Zip Code | 48458 |
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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.