SANDUSKY DENTAL PLLC (NPI# 1649779034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649779034 |
Entity Type | Organization |
Organization Name | SANDUSKY DENTAL PLLC |
Other Organization Name | SANILAC SMILES DENTAL CARE |
Practice Address |
749 N Sandusky Rd Sandusky MI 48471-9143 |
Mailing Address |
Po Box 126 Sandusky MI 48471-0126 |
Practice Telephone | 8106483224 |
Enumeration Date | 2018-02-12 |
Last Update Date | 2018-02-12 |
Authorized Official Name | DR. ANTHONY BURDUA (OWNER/DOCTOR) |
Authorized Official Telephone | 8106483224 |
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 |
Other Name | Type Code |
---|---|
Sanilac Smiles Dental Care | Doing Business As Name - Organization |
Street Address |
749 N SANDUSKY RD |
City | SANDUSKY |
State | MI |
Zip Code | 48471-9143 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922192970 | Vladimir Pyatenko | Dentist | 749 N Sandusky Rd, Sandusky, MI 48471-9143 | 2006-10-03 |
1154731669 | Cedar Point Family Dentistry Pllc | Durable Medical Equipment & Medical Supplies | 749 N Sandusky Rd, Sandusky, MI 48471-9143 | 2014-05-06 |
1437428448 | Cedar Point Family Dentistry | Dentist | 749 N Sandusky Rd, Sandusky, MI 48471-9143 | 2011-12-20 |
1427101872 | Anthony M Burdua | Dentist | 749 N Sandusky Rd, Sandusky, MI 48471-9143 | 2007-01-19 |
1558455592 | Sanilac Family Dentistry | Dentist | 749 N Sandusky Rd, Sandusky, MI 48471-9143 | 2006-10-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932747946 | Mckenzie Memorial Hospital | Clinic/Center | 170 W Argyle Street, Sandusky, MI 48471 | 2019-12-20 |
1942792122 | Harmony Elaine Bell | Social Worker | 227 E. Sanilac, Sandusky, MI 48471 | 2018-06-04 |
1093224354 | Elizabeth Westover | Spec/Tech, Health Info | 227 E. Sanilac Rd., Sandusky, MI 48471 | 2017-09-29 |
1821510975 | Robert Elliott Boyle | Dentist | 135 W Sanilac Road, Sandusky, MI 48471 | 2017-07-11 |
1154853596 | Kayla Ann Maurer | Physical Therapy Assistant | 267 E. Sanilac Rd., Sandusky, MI 48471 | 2017-04-03 |
1639569791 | Kayla Lyn Keinath | Technician, Other | 227 E. Sanilac Ave., Sandusky, MI 48471 | 2015-01-28 |
1396141685 | Jillian K Delie-volpe | Case Manager/Care Coordinator | 120 S. Custer Street, Sandusky, MI 48471 | 2014-11-13 |
1841514577 | Women's Integrated Health Care, PC | Obstetrics & Gynecology | 100 W Argyle St, Suite 4, Sandusky, MI 48471 | 2010-03-24 |
1659545127 | Kathy Ann Spiegel | Social Worker | 119 E. Sanilac Rd., Suite 8, Sandusky, MI 48471 | 2008-04-16 |
1386719771 | Shelly Jean Smith | Social Worker | 190 Delaware St., Sandusky, MI 48471 | 2006-11-21 |
Find all providers in zip 48471 |
Taxonomy Code | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407859150 | William Zucker & Kenneth Wyneski, Dental Partners, Inc. | Clinic/Center | 3708 Columbus Ave, Ste 10, Sandusky, OH 44870-5776 | 2005-05-24 |
1962687616 | Dental Professionals Cleveland-nouneh, Inc. | Clinic/Center | 1313 W Bogart Rd, Sandusky, OH 44870-5704 | 2007-12-31 |
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 |
Please comment or provide details below to improve the information on SANDUSKY DENTAL PLLC.
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.