SPECIALITY DENTAL PARTNERS OF VIRGINIA PLLC (NPI# 1144772740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144772740 |
| Entity Type | Organization |
| Organization Name | SPECIALITY DENTAL PARTNERS OF VIRGINIA PLLC |
| Practice Address |
125 Helle Blvd Suite A Dundee MI 48131-9594 |
| Practice Telephone | 7343485222 |
| Mailing Telephone | 7343485222 |
| Enumeration Date | 2016-10-30 |
| Last Update Date | 2016-10-30 |
| Authorized Official Name | DR. ROGER WOOD (DOCTOR/OWNER) |
| Authorized Official Telephone | 7343485222 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
0401004954 | VA | Dental Providers |
| Street Address |
125 HELLE BLVD SUITE A |
| City | DUNDEE |
| State | MI |
| Zip Code | 48131-9594 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184024564 | Specialty Dental Partners of Michigan PC | Dentist | 125 Helle Blvd, Suite A, Dundee, MI 48131-9594 | 2014-09-04 |
| 1760872824 | Specialty Dental Partners of Tennessee PC | Dentist | 125 Helle Blvd, Suite A, Dundee, MI 48131-9594 | 2015-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023059920 | Monroe Health Ventures, Inc | Pharmacy | 100 Powell Dr Suite 1, Dundee, MI 48131 | 2006-06-10 |
| 1194785733 | Michelle L Daill | Pediatrics | 120 Waterstradt-commerce Drive, Suite 1, Dundee, MI 48131 | 2006-03-27 |
| 1275509432 | Barnett Ronald Kantz | Emergency Medicine | 100 Powell Dr., Suite #2, Dundee, MI 48131 | 2006-02-27 |
| 1669467338 | Heartland Home Care, LLC | Home Health | 100 Powell Dr Ste 1, Dundee, MI 48131 | 2005-09-19 |
| 1124677596 | Brianna Babiera | Massage Therapist | 119 Waterstradt Commerce Dr, Dundee, MI 48131 | 2019-09-09 |
| 1508065905 | Dundee Pediatrics, Pllc | Clinic/Center | 120 Waterstradt-commerce Drive, Suite 1, Dundee, MI 48131 | 2007-07-16 |
| 1023104841 | Matthew James Leach | Pharmacist | 100 Powell Dr., Suite 1, Dundee, MI 48131 | 2006-10-05 |
| 1033232160 | Harless Family Chiropractic, Pllc | Chiropractor | 498 E. Monroe St, Dundee, MI 48131-0120 | 2007-04-06 |
| 1215927793 | Timothy Martin Stiff | Pharmacist | 115 Riley St, Dundee, MI 48131-1025 | 2005-10-25 |
| 1346295136 | Dundee Pharmacy Shoppe | Pharmacy | 115 Riley St, Dundee, MI 48131-1025 | 2006-05-23 |
| Find all providers in zip 48131 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184024564 | Specialty Dental Partners of Michigan PC | Dentist | 125 Helle Blvd, Suite A, Dundee, MI 48131-9594 | 2014-09-04 |
| 1760872824 | Specialty Dental Partners of Tennessee PC | Dentist | 125 Helle Blvd, Suite A, Dundee, MI 48131-9594 | 2015-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033717558 | Discover Smiles Pediatric Dentistry | Dentist | 2277 Science Pkwy Ste 2, Okemos, MI 48864-2551 | 2020-10-16 |
| 1740898873 | Megan E Stowers Dds Ms Plc | Dentist | 7459 Middlebelt Rd Ste 1, West Bloomfield, MI 48322-4184 | 2020-07-15 |
| 1447884069 | Jocelyn M. Robelli Dds, Ms, Pllc | Dentist | 18245 E 10 Mile Rd Ste 110, Roseville, MI 48066-5807 | 2020-02-24 |
| 1457914038 | Mitten Kids Dentistry Caledonia Plc | Dentist | 6477 Cherry Meadow Dr Se Ste 4, Caledonia, MI 49316-7351 | 2019-04-18 |
| 1780143982 | Childrens Dental Specialists of Hazel Park Pllc | Dentist | 22241 John R Rd, Hazel Park, MI 48030-1716 | 2019-03-18 |
| 1487128120 | Dental Group Associates PC | Dentist | 4505 Cascade Rd Se # B, Grand Rapids, MI 49546-8381 | 2019-01-16 |
| 1184194433 | Pediatric Dental Specialists of West Michigan | Dentist | 2155 E Paris Ave Se Ste 120, Grand Rapids, MI 49546-6142 | 2018-11-29 |
| 1811465990 | Kingma Pediatric Dentistry Pllc | Dentist | 1179 E Paris Ave Se Ste 130, Grand Rapids, MI 49546-3682 | 2018-11-07 |
| 1407322548 | Great Lakes Bay Pediatric Dentistry, Plc | Dentist | 5605 Colony Dr N Ste 2, Saginaw, MI 48638-7187 | 2018-10-16 |
| 1063987725 | Little Red Pediatric Dentistry, Plc | Dentist | 12723 N Bellwood Dr Ste 20, Holland, MI 49424-7275 | 2018-10-09 |
| Find all providers with the same taxonomy | ||||
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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.