JEFFREY S DAULTON (NPI# 1194838102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194838102 |
| Entity Type | Individual |
| Full Name | JEFFREY S DAULTON |
| Credential | DDS |
| Practice Address |
39400 Garfield Rd Suite 200 Clinton Township MI 48038-4096 |
| Practice Telephone | 5862860700 |
| Practice Fax Number | 5862865969 |
| Mailing Telephone | 5862860700 |
| Mailing Fax Number | 5862865969 |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
16054 | MI | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 3499500 | 05 |
| Street Address |
39400 GARFIELD RD SUITE 200 |
| City | CLINTON TOWNSHIP |
| State | MI |
| Zip Code | 48038-4096 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295747087 | Martin J Makowski | Dentist | 39400 Garfield Rd, Suite 200, Clinton Township, MI 48038-4096 | 2006-08-12 |
| 1114354107 | Optical Gallery, Inc. | Durable Medical Equipment & Medical Supplies | 39400 Garfield Rd, Suite 102, Clinton Township, MI 48038-4096 | 2013-10-04 |
| 1952568495 | Elizabeth Frances Ralstrom | Dentist | 39400 Garfield Rd, Northeast Professional Building, Clinton Township, MI 48038-4096 | 2008-05-21 |
| 1477678514 | Fagelman Eyewear Ltd | Eyewear Supplier (Equipment, not the service) | 39400 Garfield Rd, 102, Clinton Township, MI 48038-4096 | 2007-03-20 |
| 1184799058 | Jerry S Fagelman | Ophthalmology | 39400 Garfield Rd, Suite 103, Clinton Township, MI 48038-4096 | 2006-11-23 |
| 1487735858 | Nicholas Leone | Ophthalmology | 39400 Garfield Rd, Suite 103, Clinton Township, MI 48038-4096 | 2006-10-18 |
| 1801996525 | Deborah R Turner | Dentist | 39400 Garfield Rd, Suite 200, Clinton Township, MI 48038-4096 | 2006-09-23 |
| 1235233370 | Renee D Fraser | Dentist | 39400 Garfield Rd, Suite 200, Clinton Township, MI 48038-4096 | 2006-09-11 |
| 1104933233 | Curt S Ralstrom | Dentist | 39400 Garfield Rd, Suite 200, Clinton Township, MI 48038-4096 | 2006-08-24 |
| 1487761532 | Aristidis George Thanasas | Dentist | 39400 Garfield Rd, Suite 200, Clinton Township, MI 48038-4096 | 2006-08-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447864129 | Raphael Antonio Tramble | Counselor | River Oaks Suites Plaza 42815 Garfield Road, Suite 201, Clinton Township, MI 48038 | 2020-09-01 |
| 1275160384 | Varun C Sankuratri | Obstetrics & Gynecology | 16515 Nineteen Mile Rd, Gme Office: Attention Obgyn PC Kelly Bennet, Clinton Township, MI 48038 | 2020-03-26 |
| 1114563178 | Hopeful Reflections Counseling Center, Pllc | Counselor | 44444 Hayes, Clinton Township, MI 48038 | 2019-11-25 |
| 1588224570 | Karrie Marie Armstrong | Social Worker | 42815 Garfield Rd Macomb Therapy Group, Suite 201, Clinton Twp, MI 48038 | 2019-06-20 |
| 1386201424 | Rx Mart Pharmacy LLC | Pharmacy | 43171 Dalcoma Dr Ste #2, Clinton Twp, MI 48038 | 2019-05-23 |
| 1306314489 | Rx Mart Pharmacy LLC | Pharmacy | 43171 Dalcoma Dr., Suite 2, Clinton Twp, MI 48038 | 2018-11-07 |
| 1730677592 | Najoi Sleiman | Physical Medicine & Rehabilitation | 15855 19-mile Road, Rehab Services, 4th Floor, South Tower, Clinton Twp., MI 48038 | 2018-04-27 |
| 1295230365 | David Michael Ragbeer | Emergency Medicine | Henry Ford Macomb Hospitals, 15855 Nineteen Mile Road, Clinton Township, MI 48038 | 2018-03-29 |
| 1932601317 | Synergy Pharmacy LLC | Pharmacy | 42621 Garfield Rd Ste 101a, Clinton Township, MI 48038 | 2018-03-01 |
| 1689175002 | Melissa Velez Miracle | Speech-Language Pathologist | 38809 Windmill Pointe W, Clinton Twp, MI 48038 | 2018-02-21 |
| Find all providers in zip 48038 | ||||
| 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 |
|---|---|---|---|---|
| 1295747087 | Martin J Makowski | Dentist | 39400 Garfield Rd, Suite 200, Clinton Township, MI 48038-4096 | 2006-08-12 |
| 1801996525 | Deborah R Turner | Dentist | 39400 Garfield Rd, Suite 200, Clinton Township, MI 48038-4096 | 2006-09-23 |
| 1235233370 | Renee D Fraser | Dentist | 39400 Garfield Rd, Suite 200, Clinton Township, MI 48038-4096 | 2006-09-11 |
| 1104933233 | Curt S Ralstrom | Dentist | 39400 Garfield Rd, Suite 200, Clinton Township, MI 48038-4096 | 2006-08-24 |
| 1851408892 | Drs Delaney Plunkett Ralstrom Makowski Thanasas | Dentist | 39400 Garfield Rd, Suite 200, Clinton Township, MI 48038-4096 | 2006-08-24 |
| 1992812911 | Chester T Coccia | Dentist | 39400 Garfield Rd, Suite 200, Clinton Township, MI 48038-4096 | 2006-08-24 |
| 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 | ||||
| City | CLINTON TOWNSHIP |
| Zip Code | 48038 |
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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.