DR. CASS ANTHONY RADECKI (NPI# 1962405845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962405845 |
Entity Type | Individual |
Full Name | DR. CASS ANTHONY RADECKI |
Credential | D.D.S. |
Practice Address |
203 W Michigan Ave Saline MI 48176-1329 |
Practice Telephone | 7344291384 |
Practice Fax Number | 7349448038 |
Mailing Telephone | 7344291384 |
Mailing Fax Number | 7349448038 |
Enumeration Date | 2005-05-24 |
Last Update Date | 2007-07-09 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
2901014771 | MI | Dental Providers |
Street Address |
203 W MICHIGAN AVE |
City | SALINE |
State | MI |
Zip Code | 48176-1329 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295271914 | Transitions LLC | Community/Behavioral Health | 203 W Michigan Ave, Suite 306, Saline, MI 48176-1329 | 2017-01-19 |
1821534553 | John Kornowski | Psychologist | 203 W Michigan Ave, Suite 306, Saline, MI 48176-1329 | 2017-01-19 |
1124414800 | Cass A. Radecki, D.d.s., P.C. | Clinic/Center | 203 W Michigan Ave, Saline, MI 48176-1329 | 2015-04-09 |
1003947185 | Matthew W. Nakfoor, Dds, PC | Dentist | 203 W Michigan Ave, #204, Saline, MI 48176-1329 | 2007-03-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093291171 | Mariah Lewis | Dietitian, Registered | 123 N Ann Arbor St, Saline, MI 48176 | 2018-07-12 |
1801321310 | Jennifer Simms-coffey | Social Worker | 7330 East Michigan Ave, Saline, MI 48176 | 2017-04-23 |
1922357540 | Stacy Lyn Buckingham | Social Worker | 135 E Bennett St Ste 21, Saline, MI 48176 | 2012-08-29 |
1669605705 | Quantum Physical Therapy - Pittsfield | Physical Therapist | 6180 W Michigan Avenue, Saline, MI 48176 | 2009-08-24 |
1306074133 | Wal-mart Stores, Inc. | Eyewear Supplier (Equipment, not the service) | 7000 East Michgan Ave., Saline, MI 48176 | 2009-07-01 |
1912142126 | Joribet Med Equipment Inc. | General Practice | 525 E Michigan Ave, #414, Saline, MI 48176 | 2008-12-03 |
1912152497 | Susan A Labovich | Physical Therapist | 6180 W. Michigan Avenue, Saline, MI 48176 | 2008-11-25 |
1477703957 | Brooke L Sharp | Chiropractor | 137a E. Michigan Ave, Saline, MI 48176 | 2008-09-22 |
1376739920 | Asha Jane Kinra | Dentist | 146 South Industrial Dr., Saline, MI 48176 | 2007-09-18 |
1295951523 | James Kevin Hicks | Pharmacist | Busch's Pharmacy, 565 E. Michigan Ave, Saline, MI 48176 | 2007-04-17 |
Find all providers in zip 48176 |
Taxonomy Code | 1223S0112X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Oral and Maxillofacial Surgery |
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760604177 | Timothy Ned Pickens | Dentist | 3183 Thistle Ct, Saline, MI 48176-9576 | 2007-05-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568080414 | Shawn J Kim | Dentist | 425 E Washington St Apt 811, Ann Arbor, MI 48104-2060 | 2020-07-08 |
1760008528 | Great Lakes Oral and Maxillofacial Surgery P.C. | Dentist | 2325 Summit Park Dr Ste D, Petoskey, MI 49770-8774 | 2020-06-17 |
1962969634 | Garfield Road Dental - 1 | Dentist | 41781 Garfield Rd, Clinton Township, MI 48038-1964 | 2019-02-28 |
1477903904 | Abed Yakan | Dentist | 2700 Martin Luther King Jr. Blvd., 358, Detroit, MI 48208-2576 | 2016-06-15 |
1811378508 | Christopher Niquette | Dentist | 2119 64th Street Sw, Byron Center, MI 49315-4931 | 2015-06-18 |
1528446069 | Douglas David Orzel | Dentist | 9021 N Rodgers Ct Se Ste A, Caledonia, MI 49316-7650 | 2015-05-17 |
1013321165 | Raymond James Hanna | Dentist | 3766 Elder Rd S, West Bloomfield, MI 48324-2534 | 2014-06-17 |
1831536861 | Claude Charles Lerose Jr. | Dentist | 20675 Mack Ave, Grosse Pointe Woods, MI 48236 | 2013-05-31 |
1821433566 | Curtis Cardon | Dentist | 5957 Harvey St Ste 200, Norton Shores, MI 49444-9737 | 2013-05-08 |
1043568694 | Nick Leone Dds PC | Dentist | 28018 Harper Ave., St. Clair Shores, MI 48081-1562 | 2012-08-29 |
Find all providers with the same taxonomy |
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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.