HOUGHTON LAKE FAMILY DENTISTRY (NPI# 1235755224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235755224 |
| Entity Type | Organization |
| Organization Name | HOUGHTON LAKE FAMILY DENTISTRY |
| Practice Address |
9260 W Lake City Rd Houghton Lake MI 48629-8902 |
| Practice Telephone | 9894224099 |
| Practice Fax Number | 9894223167 |
| Mailing Telephone | 9894224099 |
| Mailing Fax Number | 9894223167 |
| Enumeration Date | 2020-06-25 |
| Last Update Date | 2020-06-25 |
| Authorized Official Name | DR. ROBERT M PACELLA (OWNER/DENTIST) |
| Authorized Official Telephone | 9894224099 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
9260 W LAKE CITY RD |
| City | HOUGHTON LAKE |
| State | MI |
| Zip Code | 48629-8902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033223052 | Robert M Pacella | Dentist | 9260 W Lake City Rd, Houghton Lake, MI 48629-8902 | 2006-08-18 |
| 1740806363 | Robert Joseph Pacella | Dentist | 9260 W Lake City Rd, Houghton Lake, MI 48629-8902 | 2020-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457827529 | Jessica Nichole Costanza | Behavior Technician | 1840 W Houghton Lake Drive, Unit 2, Prudenville, MI 48629 | 2018-10-16 |
| 1326590134 | Gregory Stuck | Chiropractor | 3231 Towerhill Rd., Houghton Lake, MI 48629 | 2016-10-27 |
| 1871992271 | Rite Aid Pharmacy | Pharmacy | 4652 W Houghton Lake Rd, Houghton Lake, MI 48629 | 2014-08-21 |
| 1386835882 | Hance Family Chiropractic Care Pllc | Chiropractor | 3508 W Houghton Lake Drive, Houghton Lake, MI 48629 | 2007-08-08 |
| 1598955247 | Michael Gerald Coon | Dental Laboratory Technician | 3232 W Houghton Lake Drive, Houghton Lake, MI 48629 | 2007-07-30 |
| 1114090578 | Thomas Steven Rudzinski | Dentist | 140 River St, Elk Rapids, MI 48629 | 2006-11-15 |
| 1154417749 | Mary Anne Vanoosterhout | Dietitian, Registered | 9249 West Lake City Road, Houghton Lake, MI 48629 | 2006-10-04 |
| 1063507564 | Ann L Rushlow | Physical Therapy Assistant | 9249 West Lake City Rd, Houghton Lake, MI 48629 | 2006-10-03 |
| 1306848783 | Houghton Lake Ambulance Service | Ambulance | 9166 W Lake City Rd., Houghton Lake, MI 48629 | 2005-08-15 |
| 1235130923 | Family Eye Care PC | Optometrist | 6525 A W Houghton Lake Dr, Houghton Lake, MI 48629 | 2005-08-03 |
| Find all providers in zip 48629 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821216 | Inspired Family Dental Care | Clinic/Center | 1685 Fairholme Rd, Grosse Pointe Woods, MI 48236-2368 | 2020-11-05 |
| 1376144261 | Right Choice Dental, PC | Clinic/Center | 475 Columbia Ave E Ste 5, Battle Creek, MI 49014-5461 | 2020-11-05 |
| 1669073813 | Thomas M Smith, Dds, Plc | Clinic/Center | 755 Seminole Rd Ste 103, Norton Shores, MI 49441-6561 | 2020-11-04 |
| 1235739533 | Randy J Breen Dds Pllc | Clinic/Center | 2460 Burton St Se Ste 201, Grand Rapids, MI 49546-4800 | 2020-10-27 |
| 1831798370 | Saline Dental Care, Pllc | Clinic/Center | 150 Judd Rd, Milan, MI 48160-9584 | 2020-10-24 |
| 1235738113 | David Sorial Dds PC | Clinic/Center | 14755 Northline Rd, Southgate, MI 48195-2407 | 2020-10-21 |
| 1598363970 | Steven M Moss Dds PC | Clinic/Center | 37625 Ann Arbor Rd Ste 108, Livonia, MI 48150-2400 | 2020-10-16 |
| 1700484375 | Troy Cosmetic and Implant Dental Center Pllc | Clinic/Center | 4770 Rochester Rd Ste 106, Troy, MI 48085-4951 | 2020-10-15 |
| 1194323303 | Aq Dental Group Pllc | Clinic/Center | 10413 Ford Road, Units M & N, Dearborn, MI 48126 | 2020-10-12 |
| 1245837806 | Kendall J Lee Dds Pllc | Clinic/Center | 111 S Howell St, Hillsdale, MI 49242-1873 | 2020-10-07 |
| Find all providers with the same taxonomy | ||||
| City | HOUGHTON LAKE |
| Zip Code | 48629 |
Please comment or provide details below to improve the information on HOUGHTON LAKE FAMILY DENTISTRY.
| 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.