EDP OF MI, PC (NPI# 1447804919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447804919 |
| Entity Type | Organization |
| Organization Name | EDP OF MI, PC |
| Practice Address |
1640 Fort St Trenton MI 48183-2040 |
| Practice Telephone | 7346758400 |
| Mailing Telephone | 7346758400 |
| Enumeration Date | 2019-08-01 |
| Last Update Date | 2019-08-01 |
| Authorized Official Name | ROSEANNE BRUNENKANT (DIRECTOR OF INTEGRATIONS) |
| Authorized Official Telephone | 3129373619 |
| Is Organization Subpart | Y |
| Parent Organization Name | EDP OF MI, PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Penn and Searls, DDS | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811403959 | Edp of Mi, PC | Clinic/Center | 1500 44th St Se, Grand Rapids, MI 49508-4651 | 2017-12-27 |
| Street Address |
1640 FORT ST |
| City | TRENTON |
| State | MI |
| Zip Code | 48183-2040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093712507 | Rebecca M Steele | Family Medicine | 1640 Fort St, Suite D, Trenton, MI 48183-2040 | 2005-06-30 |
| 1528276573 | Drs. Penn and Searls D.d.s. PC | Dentist | 1640 Fort St, Trenton, MI 48183-2040 | 2007-05-21 |
| 1356566947 | Wyandotte Medical Practices | Family Medicine | 1640 Fort St, Suite D, Trenton, MI 48183-2040 | 2007-04-17 |
| 1710039904 | Tressa A Priehs | Dentist | 1640 Fort St, Suite A, Trenton, MI 48183-2040 | 2007-01-17 |
| 1952453136 | Greg L Penn | Dentist | 1640 Fort St, Suite A, Trenton, MI 48183-2040 | 2007-01-17 |
| 1215089552 | Fred J Searls | Dentist | 1640 Fort St, Suite A, Trenton, MI 48183-2040 | 2007-01-17 |
| 1780734095 | A Access PC | Family Medicine | 1640 Fort St, Suite E, Trenton, MI 48183-2040 | 2007-01-11 |
| 1265441737 | Diana Wilsher | Family Medicine | 1640 Fort St, Suite D, Trenton, MI 48183-2040 | 2006-08-05 |
| 1174590871 | Gary Leo Zamanigian | Family Medicine | 1640 Fort St, Suite D, Trenton, MI 48183-2040 | 2006-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043869324 | Tonya Saint Onge | Physical Therapy Assistant | Applewood Nursing Center, 18500 Van Horn Rd., Woodhaven, MI 48183 | 2019-09-09 |
| 1326568635 | Samantha Nicole Steffen | Behavior Technician | 3244 Concord, Trenton, MI 48183 | 2017-06-27 |
| 1225567688 | Nicholas Michael Abdallah | Dentist | 21080 Allen Road, Woodhaven, MI 48183 | 2017-06-08 |
| 1265823041 | Sherry A Dees Lmsw Acsw LLC | Counselor | 23933 Allen Road, Suite 3, Woodhaven, MI 48183 | 2015-02-14 |
| 1720480825 | Marlo Brazier | Technician, Other | 226000 West Rd, Apt 108, Trenton, MI 48183 | 2014-09-19 |
| 1679902597 | Henry Ford Wyandotte Hospital | Dietitian, Registered | 1640 Fort Street, Suite D Attn Denise, Trenton, MI 48183 | 2013-11-02 |
| 1548605116 | Kay Vonne Cason Psy Pllc | Psychologist | 19366 Allen Rd Ste. D, Brownstown, MI 48183 | 2013-05-08 |
| 1891031118 | Mazin K Dds PC | Dentist | 22319 King Rd, Woodhaven, MI 48183 | 2012-12-13 |
| 1114241585 | John Shafer | Psychologist | 1660 Fort St, Trenton, MI 48183 | 2010-03-15 |
| 1982871026 | Anthony G Gray | Physical Therapist | 20059 King Road, Woodhaven, MI 48183 | 2008-05-08 |
| Find all providers in zip 48183 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356515910 | Steven J. Stone, Dds | Clinic/Center | 20 S Main St, Trenton, IL 62293-1331 | 2008-04-15 |
| 1366612806 | Greenwood Family Dentistry P.C. | Clinic/Center | 1902 Greenwood Ave, Trenton, NJ 08609-2310 | 2008-03-11 |
| 1871783100 | Trenton Dental Associates - Bryan T. Tervo, Dds, LLC | Clinic/Center | 122 E State St, Trenton, OH 45067-1528 | 2007-08-01 |
| 1801826268 | Trenton Medical Center Inc | Clinic/Center | 911 S Main St, Trenton, FL 32693-3239 | 2006-07-03 |
| 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 | ||||
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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.