PLYMOUTH ENDODONTICS (NPI# 1285252874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285252874 |
| Entity Type | Organization |
| Organization Name | PLYMOUTH ENDODONTICS |
| Practice Address |
9416 S Main St Ste 212 Plymouth MI 48170-4148 |
| Practice Telephone | 7344598844 |
| Mailing Telephone | 7344598844 |
| Enumeration Date | 2020-07-09 |
| Last Update Date | 2020-07-09 |
| Authorized Official Name | STEVE J. VLAHAKIS (OWNER) |
| Authorized Official Telephone | 7344598844 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1356469787 | 05 | |
| MI | 160911863 | 05 |
| Other Name | Type Code |
|---|---|
| Plymouth Endodontics | Doing Business As Name - Organization |
| Street Address |
9416 S MAIN ST STE 212 |
| City | PLYMOUTH |
| State | MI |
| Zip Code | 48170-4148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720611734 | Brightside Medical of Michigan, P.C. | Psychiatry & Neurology | Telemedicine Services Only / No Physical Office, Telemedicine Services Only / No Physical, MI 48170 | 2020-02-18 |
| 1265075279 | Mast Enterprises | Home Health | 40800 Five Mile Rd Ste C, Plymouth, MI 48170 | 2019-10-22 |
| 1003470964 | Smiley Private Homecare LLC | Technician, Pathology | 1098 Ann Arbor Rd #249, Plymouth, MI 48170 | 2019-04-26 |
| 1275003832 | Atsalis Dental Excellence | Dentist | 690 South Main St, Plymouth, MI 48170 | 2018-11-27 |
| 1275003808 | Danielle Cefalo | Speech-Language Pathologist | 801 W. Ann Arbor Trail Suite 220, Plymouth, MI 48170 | 2018-11-27 |
| 1962987966 | Mindful Wellness Counseling, LLC | Social Worker | 9266 Northern Ave, Plymouth, MI 48170 | 2018-09-26 |
| 1972094027 | Plymouth Urgent Care Walk-in Clinic LLC | Clinic/Center | 1498 S Sheldon Rd, Plymouth, MI 48170 | 2018-05-24 |
| 1356843791 | Polaris Pharmacy Services of Michigan, LLC | Pharmacy | 9131 General Court, Plymouth, MI 48170 | 2018-03-01 |
| 1528569787 | Alcona Citizens for Health Inc | Clinic/Center | 101 S Union St Unit 101, Plymouth, MI 48170 | 2018-02-23 |
| 1073029484 | Holly Ann Haase | Technician/Technologist | 650 Church St, Plymouth, MI 48170 | 2017-12-20 |
| Find all providers in zip 48170 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093908360 | Endodontic Professionals Pa Plymouth Endodontics | Dentist | 3401 Hwy 169 N, Plymouth, MN 55441 | 2007-08-21 |
| 1083789572 | Brent Donald Rundquist | Dentist | 3401 Highway 169 North, Plymouth, MN 55441-2413 | 2006-11-21 |
| 1447323498 | Susan Gail Penniston | Dentist | 3401 Highway 169 N, Plymouth, MN 55441-2413 | 2006-11-16 |
| 1164506135 | Plymouth Dental Associates PC | Dentist | 42801 Schoolcraft Road, Plymouth, MI 48170 | 2006-10-25 |
| 1659607653 | Matthew Del Mastro | Dentist | 3401 Highway 169 N, Plymouth, MN 55441-2413 | 2009-10-26 |
| 1437318565 | Marco Donadio | Dentist | 110 Long Pond Rd, Plymouth, MA 02360-2642 | 2008-06-04 |
| 1356469787 | Steve J Vlahakis | Dentist | 9416 S Main St, Suite 212, Plymouth, MI 48170-4148 | 2007-03-26 |
| 1417075847 | Dennis Michael Gut | Dentist | 9416 S Main St, Suite 212, Plymouth, MI 48170-4148 | 2007-03-26 |
| 1578638946 | Thomas Andrew Karn | Dentist | 3401 Highway 169 N, Plymouth, MN 55441-2413 | 2006-11-21 |
| 1013082882 | Mark Richard Jensen | Dentist | 3401 Highway 169 N, Plymouth, MN 55441-2413 | 2006-11-21 |
| Find all providers in PLYMOUTH | ||||
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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.