JUSTIN DISTELRATH (NPI# 1881255966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881255966 |
| Entity Type | Individual |
| Full Name | JUSTIN DISTELRATH |
| Practice Address |
7924 Secor Rd Lambertville MI 48144 |
| Mailing Address |
5572 Hampshire Lane Ypsilanti MI 48197 |
| Practice Telephone | 7348563004 |
| Enumeration Date | 2019-06-27 |
| Last Update Date | 2019-06-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2901023205 | MI | Dental Providers |
| Street Address |
7924 SECOR RD |
| City | LAMBERTVILLE |
| State | MI |
| Zip Code | 48144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144291832 | Secor Dental Associates | Dentist | 7924 Secor Rd, Lambertville, MI 48144 | 2006-01-30 |
| 1326383340 | Cynthia Denis | Dentist | 7924 Secor Rd, Lambertville, MI 48144-9619 | 2012-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144725383 | Andrew Thomas Hohman | Chiropractor | 3309 Quail Hollow Dr., Suite A, Lambertville, MI 48144 | 2018-03-29 |
| 1366687576 | Citadel Health Equipment Corp. | General Practice | 3606 W Sterns Rd, #392, Lambertville, MI 48144 | 2008-12-03 |
| 1164646972 | Thomas Joseph Calloway | Pharmacist | 7385 Secor Rd, Lambertville, MI 48144 | 2007-04-12 |
| 1518004167 | Apple Chiropractic | Chiropractor | 7490 Secor Rd, Lambertville, MI 48144 | 2007-01-31 |
| 1083648836 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 3462 W Sterns Rd, Lambertville, MI 48144 | 2006-07-10 |
| 1679923015 | Megan Brooks | Optometrist | 7470 Secor Rd, Lambertville, MI 48144 | 2016-06-16 |
| 1295952778 | Dalal Makram Nassif | Pharmacist | 7358 Secor Rd, Lamberville, MI 48144 | 2007-04-19 |
| 1285645358 | Bedford Physical Therapy PC | Occupational Therapist | 7300 Secor Rd, Ste 3, Lambertville, MI 48144 | 2006-08-11 |
| 1679513568 | James Knowles | Psychologist | 7581 Secor Rd, Lambertville, MI 48144 | 2006-06-07 |
| 1669717344 | Mark Richard Warren | Dentist | 7924 Secor Road Box 297, Lambertville, MI 48144-0297 | 2012-12-06 |
| Find all providers in zip 48144 | ||||
| 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 |
|---|---|---|---|---|
| 1609068964 | Chester Joseph Urbanski | Dentist | 55 Rocktown Lambertville Rd, Lambertville, NJ 08530-3104 | 2007-08-10 |
| 1982826459 | Shelley Schnoor, D.d.s., Plc | Dentist | 3602 Sterns Rd, Lambertville, MI 48144-9578 | 2007-05-03 |
| 1568485993 | Michael E Martin Dds PC | Dentist | 3227 Dean Rd, Lambertville, MI 48144-9614 | 2006-07-26 |
| 1679656110 | Michael Emmanuel Martin | Dentist | 3227 Dean Rd, Lambertville, MI 48144-9614 | 2006-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336749522 | Berman Family Dentistry Pllc | Dentist | 9430 S Main St Ste 1, Plymouth, MI 48170-4149 | 2020-10-28 |
| 1821696956 | Dream Dental Group Pllc | Dentist | 9600 Commerce Rd, Commerce Twp, MI 48382-4111 | 2020-10-12 |
| 1629675020 | Superior Family Dental | Dentist | 425 W Huron St Ste 140, Milford, MI 48381-2243 | 2020-10-08 |
| 1255948790 | Jamie L Hafke Dds Pllc | Dentist | 1955 N Pontiac Trl, Walled Lake, MI 48390-3157 | 2020-09-29 |
| 1942817812 | Maria Edith Cserhalmi | Dentist | 20618 Harper Ave., Harper Woods, MI 48225-1429 | 2020-09-25 |
| 1649886748 | Advanced Family Dentistry-plymouth Pllc | Dentist | 44644 Ann Arbor Rd W Ste F, Plymouth, MI 48170-4089 | 2020-09-23 |
| 1396351045 | Sandra Alias | Dentist | 27828 Westcott Crescent Cir, Farmington Hills, MI 48334-5314 | 2020-09-18 |
| 1265047641 | Michigan Implant Dental Center | Dentist | 28701 Plymouth Rd Ste B, Livonia, MI 48150-2421 | 2020-09-11 |
| 1366057929 | Dr. Leigh Ellen Snyder Dds | Dentist | 16869 E 14 Mile Rd, Fraser, MI 48026-2239 | 2020-09-10 |
| 1215541305 | Kevin P Cooper Dds PC | Dentist | 202 Brady Street, Sault Sainte Marie, MI 49783 | 2020-09-04 |
| Find all providers with the same taxonomy | ||||
| City | LAMBERTVILLE |
| Zip Code | 48144 |
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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.