MICHAEL J. DEPORRE, D.D.S., P.C. (NPI# 1932292216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932292216 |
| Entity Type | Organization |
| Organization Name | MICHAEL J. DEPORRE, D.D.S., P.C. |
| Practice Address |
2490 Walton Blvd Suite 202 Rochester Hills MI 48309-1484 |
| Practice Telephone | 2486562244 |
| Practice Fax Number | 2486560225 |
| Mailing Telephone | 2486562244 |
| Mailing Fax Number | 2486560225 |
| Enumeration Date | 2006-10-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MICHAEL JOSEPH DEPORRE (PRESIDENT) |
| Authorized Official Telephone | 2486562244 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
13866 | MI | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4658155 | 05 |
| Street Address |
2490 WALTON BLVD SUITE 202 |
| City | ROCHESTER HILLS |
| State | MI |
| Zip Code | 48309-1484 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841606332 | Amanda B. Boltwood Dds Pllc | Dentist | 2490 Walton Blvd, Suite 202, Rochester Hills, MI 48309-1484 | 2014-07-07 |
| 1952577587 | Charles H Lewis | Dentist | 2490 Walton Blvd, Suite 202, Rochester Hills, MI 48309-1484 | 2008-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255874541 | Tracy Rutherford | Licensed Practical Nurse | 1613 Star Beit Drive, Rochester Hills, MI 48309 | 2016-11-18 |
| 1679016901 | Christian Ojimadu | Registered Nurse | 1613 Star-batt Drive, Rochester Hills, MI 48309 | 2016-11-18 |
| 1841749173 | Julian Alexander Prosser | Social Worker | 1800 Star Batt Drive, Rochester Hills, MI 48309 | 2016-09-28 |
| 1821472861 | Oakland University | Orthopaedic Surgery | 201 Athletics Ctr, Rochester, MI 48309 | 2015-07-18 |
| 1831438704 | Deborah Marie Tierney | Nurse Practitioner | 2200 Squirrel Road Human Health Building, Oakland University School of Nursing Room 2038, Rochester, MI 48309 | 2013-02-12 |
| 1396021242 | Karen Renee Farrar | Social Worker | 1344 Chestnut Cir, Rochester Hills, MI 48309 | 2011-10-24 |
| 1083922389 | Michigan V & P Management, LLC | Specialist | 1886 W. Auburn #300, Rochester Hills, MI 48309 | 2010-09-21 |
| 1689894032 | Steven L. Lipton Dds, PC | Dentist | 111 Rochdale Dr, Rochester Hills, MI 48309 | 2007-04-26 |
| 1083735773 | Jennifer R Haener | Family Medicine | 2940 Crooks Road, Rochester Hills, MI 48309 | 2007-04-02 |
| 1215079645 | Eva Colleen Frances Mondor | Counselor | 155 Rochdale Dr. S, Suite B, Rochester Hills, MI 48309 | 2007-02-13 |
| Find all providers in zip 48309 | ||||
| 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 |
|---|---|---|---|---|
| 1184232316 | Mackensy S Lakian | Dentist | 1460 Walton Blvd Ste 204, Rochester Hills, MI 48309-1779 | 2020-07-14 |
| 1932582822 | Robert Michael Haddad | Dentist | 1428 N Rochester Rd, Rochester Hills, MI 48307-1188 | 2015-07-09 |
| 1003015181 | Matthew Aaron Papsin | Dentist | 1000 W University Dr Ste 316, Rochester Hills, MI 48307-1876 | 2007-07-17 |
| 1366644171 | Nael M Meri | Dentist | 75 Barclay Circle Suite 110, Rochester Hills, MI 48307 | 2007-06-04 |
| 1528279221 | Matthew Z. Fox D.m.d., P.C. | Dentist | 940 W Avon Rd Ste 12, Rochester Hills, MI 48307-2760 | 2007-05-24 |
| 1518184043 | Shakeel Ahmed Niazi | Dentist | 1390 W Auburn Rd, Suite A, Rochester Hills, MI 48309-4341 | 2007-04-19 |
| 1619000460 | Brian J Mclean | Dentist | 1435 Walton Blvd, Rochester Hills, MI 48309-1775 | 2007-03-13 |
| 1588715908 | Richard Allen Muir | Dentist | 1202 Walton Blvd Ste 213, Rochester Hills, MI 48307-6917 | 2007-01-13 |
| 1437221835 | George Mohsen Ibrahim | Dentist | 2583 S Rochester Rd., Rochester Hills, MI 48307 | 2006-11-14 |
| 1730279738 | Gregory J. Mansour | Dentist | 1800 W Auburn Rd, Rochester Hills, MI 48309-3858 | 2006-10-13 |
| Find all providers in ROCHESTER HILLS | ||||
| City | ROCHESTER HILLS |
| Zip Code | 48309 |
Please comment or provide details below to improve the information on MICHAEL J. DEPORRE, D.D.S., P.C..
| 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.