LENAWEE DENTAL CLINIC INC (NPI# 1578786034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578786034 |
| Entity Type | Organization |
| Organization Name | LENAWEE DENTAL CLINIC INC |
| Practice Address |
128 S Broad St Adrian MI 49221-2723 |
| Practice Telephone | 5172660651 |
| Practice Fax Number | 5172668476 |
| Mailing Telephone | 5172660651 |
| Mailing Fax Number | 5172668476 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-08-22 |
| NPI Deactivation Date | 04/23/2007 |
| NPI Reactivation Date | 2007-04-30 |
| Authorized Official Name | MR. JOHN ANTHONY LARK (PRESIDENT BOARD OF DIRECTORS) |
| Authorized Official Telephone | 5172639022 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
18869 | MI | Dental Providers |
| Street Address |
128 S BROAD ST |
| City | ADRIAN |
| State | MI |
| Zip Code | 49221-2723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831480425 | Family Medical Center of Michigan, Inc | Clinic/Center | 128 S Broad St, Adrian, MI 49221-2723 | 2011-04-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285116723 | Sandra Ann Harsh | Occupational Therapist | Total Rehab, 1136 Country Club, Adrian, MI 49221 | 2018-08-31 |
| 1588156178 | Chelsea Varney | Social Worker | 1040 Winter Street, Adrian, MI 49221 | 2018-05-31 |
| 1669974127 | Nicoletta Mary Bruno | Physical Therapy Assistant | 700 Lakeshire Trail, Adrian, MI 49221 | 2018-03-01 |
| 1871011403 | Evan Splan | Pharmacist | 1200 South Main St Suite A, Adrian, MI 49221 | 2017-09-04 |
| 1780104992 | Daniel Malcolm | Specialist/Technologist | 1325 Williams St., Adrian, MI 49221 | 2017-06-20 |
| 1639602881 | Robert Gargol | Pharmacist | 1535 W Maumee, Adrian, MI 49221 | 2017-04-05 |
| 1487196416 | Painless Dentistry V | Dentist | 160 N. Winter St., Adrian, MI 49221 | 2016-11-08 |
| 1487025227 | Michelle Lynn Ranta | Speech-Language Pathologist | 730 Kimole Ln., Adrian, MI 49221 | 2015-10-19 |
| 1376929109 | James Hamblin | Technician, Other | 1100 South Main St. Lot 139, Adrian, MI 49221 | 2015-08-04 |
| 1316320039 | Shirley Goodlock | Community/Behavioral Health | 3091 E. Carleton Rd, Adrian, MI 49221 | 2015-06-30 |
| Find all providers in zip 49221 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922500917 | Lifetime Dental Care of Michigan, P.C. | Dentist | 1136 Country Club Rd Ste B, Adrian, MI 49221-8208 | 2018-03-06 |
| 1326569260 | Michigan Dental Associates - Adrian PC | Dentist | 160 N Winter St, Adrian, MI 49221-2093 | 2017-06-30 |
| 1730618612 | Michelle Skaff | Dentist | 113 Maine Ave, Adrian, MN 56110-1192 | 2017-06-05 |
| 1528595501 | Scott Robert Gibson | Dentist | 1515 E Us Highway 223, Adrian, MI 49221-4456 | 2017-05-22 |
| 1487196416 | Painless Dentistry V | Dentist | 160 N. Winter St., Adrian, MI 49221 | 2016-11-08 |
| 1437549425 | Dr. Eldib, Pllc | Dentist | 1515 E Us Highway 223 Ste G, Adrian, MI 49221-4456 | 2015-01-28 |
| 1265876619 | Robert Howard Love IIi | Dentist | 689 Stockford Dr, Adrian, MI 49221-1460 | 2013-04-28 |
| 1457658163 | Gary A Blaesing Dds PC | Dentist | 1548 West Maumee, Adrian, MI 49221 | 2011-02-15 |
| 1740503648 | Brilliant Smiles Dental/vabo Investments Pllc | Dentist | 113 W Front St Ste C, Adrian, MI 49221-2072 | 2010-03-05 |
| 1346456332 | Richard B. Youngs,dds,pc | Dentist | 133 E Maple Ave, Adrian, MI 49221-2157 | 2007-05-15 |
| Find all providers in ADRIAN | ||||
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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.