DCP OF MICHIGAN (SUMMIT PLACE) PC (NPI# 1558332841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558332841 |
| Entity Type | Organization |
| Organization Name | DCP OF MICHIGAN (SUMMIT PLACE) PC |
| Practice Address |
435 N Telegraph Rd Waterford MI 48328-3332 |
| Mailing Address |
5875 Landerbrook Dr Ste 250 Mayfield Heights OH 44124-6511 |
| Practice Telephone | 2486839811 |
| Practice Fax Number | 2486839815 |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ED MECKLER (CHAIRMAN OF THE BOARD) |
| Authorized Official Telephone | 8004874867 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 122300000X | Dentist | Dental Providers | ||
| X | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers | ||
| X | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers | ||
| X | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers | ||
| X | 1223P0300X |
Dentist Specialization: Periodontics |
Dental Providers | ||
| X | 1223P0700X |
Dentist Specialization: Prosthodontics |
Dental Providers | ||
| X | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers |
| Street Address |
435 N TELEGRAPH RD |
| City | WATERFORD |
| State | MI |
| Zip Code | 48328-3332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265649446 | David Warsh | Optometrist | 435 N Telegraph Rd, Waterford, MI 48328-3332 | 2007-05-17 |
| 1174640148 | Opcomm Inc. | Optometrist | 435 N Telegraph Rd, Waterford, MI 48328-3332 | 2007-03-23 |
| 1518058353 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 435 N Telegraph Rd, Summit Place Mall, Waterford, MI 48328-3332 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477184125 | Lillian Atty | Pharmacist | 1484 Rivona Dr, Waterford, MI 48328 | 2020-01-31 |
| 1437631850 | Rana Ismail | Pharmacist | 3273 West Huron St, Waterford, MI 48328 | 2018-09-01 |
| 1588181978 | India Dunlap | Social Worker | 279 Summit Dr., Waterford, MI 48328 | 2017-08-25 |
| 1689191280 | Sydney Strandberg | Social Worker | 1145 Parkway, Waterford, MI 48328 | 2017-08-24 |
| 1467982074 | Briana Greenlee | Dietitian, Registered | 3819 Faber Terrace, Waterford, MI 48328 | 2017-06-15 |
| 1922537364 | Lourdes Alzheimer's Special Care | Custodial Care Facility | 2400 Watkins Lake Rd, Waterford, MI 48328 | 2017-06-08 |
| 1013446459 | Lourdes Assisted Living | Assisted Living Facility | 2450 Watkins Lake Rd, Waterford, MI 48328 | 2017-06-08 |
| 1588019053 | Legacy Dermatology Group PC | Dermatology | 1392 S Cass Lake Rd, Waterford, MI 48328 | 2016-05-03 |
| 1932567989 | Devenia Denise Clayter | Counselor | 255 Summit Dr, Waterford, MI 48328 | 2016-02-05 |
| 1922409739 | Stacey Diggs | Counselor | 250 Elizabeth Lake Road, Biomed Behavorial Healthcare, Waterford, MI 48328 | 2014-09-11 |
| Find all providers in zip 48328 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902421035 | Anthony Jacob Laszlo | Dentist | 3714 Sashabaw Rd, Waterford, MI 48329-2067 | 2020-06-15 |
| 1821401068 | Logan Conrad Smith | Dentist | 2340 Marwood Dr, Waterford, MI 48328-1633 | 2014-06-05 |
| 1386938561 | Amanda Marie Sheehan | Dentist | 4626 W Walton Blvd, Waterford, MI 48329-3535 | 2011-06-05 |
| 1417263120 | Metro Imaging Center Plc | Dentist | 4664 W. Walton Blvd., Waterford, MI 48329 | 2010-08-19 |
| 1336468941 | Dinesh Nandlal Patel | Dentist | 9271 Peach Street, Waterford, PA 16441 | 2010-05-21 |
| 1316139637 | Mary Ann Harchick | Dentist | 4204 Pontiac Lake Rd, Waterford, MI 48328 | 2007-08-10 |
| 1336359579 | David M Luciw | Dentist | 4914 Highland Rd, Waterford, MI 48328-1142 | 2007-05-23 |
| 1598979676 | Elaine Gantz, D.d.s., P.C. | Dentist | 4005 Highland Rd., Waterford, MI 48328-2134 | 2007-05-09 |
| 1568687531 | Brian E Lentz Dmd PC | Dentist | 850 Cherry Street, Waterford, PA 16441-0817 | 2007-04-16 |
| 1962556498 | Mark Andrew Laszlo | Dentist | 4624 Walton Blvd, Waterford, MI 48329 | 2007-01-22 |
| Find all providers in WATERFORD | ||||
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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.