CHARLES F. LYDY, D.D.S., P.C. (NPI# 1093966640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093966640 |
| Entity Type | Organization |
| Organization Name | CHARLES F. LYDY, D.D.S., P.C. |
| Practice Address |
144 N Frost Dr Suite 1 Saginaw MI 48638-7186 |
| Practice Telephone | 9897900700 |
| Practice Fax Number | 9897907411 |
| Mailing Telephone | 9897900700 |
| Mailing Fax Number | 9897907411 |
| Enumeration Date | 2008-10-01 |
| Last Update Date | 2008-10-01 |
| Authorized Official Name | DR. CHARLES F LYDY (PRESIDENT) |
| Authorized Official Telephone | 9897900700 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4053826 | 05 |
| Street Address |
144 N FROST DR SUITE 1 |
| City | SAGINAW |
| State | MI |
| Zip Code | 48638-7186 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457329518 | Charles Fredericks Lydy | Dentist | 144 N Frost Dr, Saginaw, MI 48638-7186 | 2006-03-14 |
| 1245279355 | Rakesh Chokshi | Internal Medicine | 144 N Frost Dr, Saginaw, MI 48638-7186 | 2006-06-05 |
| 1295780591 | Rakesh Chokshi Md Plc | Internal Medicine | 144 N Frost Dr, Saginaw, MI 48638-7186 | 2006-05-24 |
| 1598714396 | Aida B. Ponce | Pediatrics | 144 N Frost Dr, Suite 4, Saginaw, MI 48638-7186 | 2006-05-09 |
| 1952350571 | Elvira M Dawis | Pediatrics | 144 N Frost Dr, Suite 2, Saginaw, MI 48638 | 2006-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235604547 | Kristina Susan Spohn | Behavior Technician | 300 Saint Andrews Rd Ste 408, Saginaw, MI 48638 | 2018-10-12 |
| 1538686803 | Jennifer A Nickels | Behavioral Analyst | 300 Saint Andrews Rd Ste 409, Saginaw, MI 48638 | 2017-08-27 |
| 1013209634 | Ryan D Michelson Dds Plc | Dentist | 65 North Frost Drive, Saginaw, MI 48638 | 2011-05-16 |
| 1477645539 | Mark Walter Pankonin | Family Medicine | 1600 Midland Rd, Saginaw, MI 48638 | 2006-09-28 |
| 1386735579 | John Edwin Galsterer | Dentist | 5605 Colony Drive North, Saginaw, MI 48638 | 2006-09-27 |
| 1699873075 | Phadej Keopunna | Urology | 70 North Frost Dr, Saginaw, MI 48638 | 2006-09-20 |
| 1790881902 | Jeffrey John Dwan | Dentist | 595 N Center Rd, Ste 5, Saginaw, MI 48638 | 2006-09-15 |
| 1396705364 | Christina Marie Barba | Physical Therapist | 4884 Gratiot Avenue, Suite 19, Saginaw, MI 48638 | 2006-03-24 |
| 1538136353 | Joseph E Oesterling | Specialist | 1740 Midland Rd, Saginaw, MI 48638 | 2006-03-01 |
| 1558916650 | Kayela Lynn Oberloier | Behavior Technician | 300 Saint Andrews Rd Ste 408, Saginaw, MI 48638 | 2019-08-06 |
| Find all providers in zip 48638 | ||||
| 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 |
|---|---|---|---|---|
| 1881246049 | Renkuntla Pllc | Dentist | 240 S Saginaw Blvd, Saginaw, TX 76179 | 2019-07-09 |
| 1841858636 | Parker Duncan | Dentist | 321 N Warren, Saginaw, MI 48607 | 2019-06-05 |
| 1902397797 | Ao of Saginaw | Dentist | 3456 Shattuck Rd Ste 4, Saginaw, MI 48603-7003 | 2018-05-29 |
| 1932637600 | Stephanie Michele Mcmall | Dentist | 2109 Augsburg Dr, Saginaw, MI 48603-3703 | 2017-05-25 |
| 1750794541 | Julie Norwood | Dentist | 1453 N. Saginaw Blvd., Suite 150, Saginaw, TX 76179 | 2014-06-09 |
| 1205117041 | Dental Dreams Pllc | Dentist | 3890 Dixie Hwy, Ste #1a, Saginaw, MI 48601-4205 | 2011-09-07 |
| 1477846137 | Jennifer Marie Libling | Dentist | 1100 N. Blue Mound Rd, Suite 100, Saginaw, TX 76131-4902 | 2011-05-26 |
| 1669703088 | Kelly Lynn West | Dentist | 608 E Bailey Boswell Rd, Suite 100, Saginaw, TX 76131-3569 | 2010-01-25 |
| 1316111834 | Larry Eing Wee | Dentist | 5303 Dixie Hwy, Saginaw, MI 48601-5573 | 2008-04-15 |
| 1750568614 | Juliana Aba Quansah | Dentist | 1928 E Genesee, Saginaw, MI 48601 | 2008-01-23 |
| Find all providers in SAGINAW | ||||
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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.