GARY H. DWIGHT, D.D.S., P.C. NPI 1023296571

Clinic/Center in East Lansing, MI

NPI 1023296571 Organization Clinic/Center

About GARY H. DWIGHT, D.D.S., P.C.

Gary H. Dwight, D.d.s., P.c. is a provider established in East Lansing, Michigan specializing in clinic/center. The NPI number of Gary H. Dwight, D.d.s., P.c. is 1023296571 and was assigned on February 2008. The practitioner's primary taxonomy code is 261Q00000X with license number 10120 (MI). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Dr. Gary H Dwight D.d.s., M.s. (President)

NPI

1023296571

Provider NameGARY H. DWIGHT, D.D.S., P.C.
Provider Location Address818 W LAKE LANSING RD EAST LANSING, MI 48823
Provider Mailing Address818 W LAKE LANSING RD EAST LANSING, MI 48823
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date02-07-2008
Last Update Date03-31-2010


Primary Taxonomy

Taxonomy Code261Q00000X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
License No.10120
License StateMI
Taxonomy DescriptionA facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Business Address

GARY H. DWIGHT, D.D.S., P.C.
818 W LAKE LANSING RD
EAST LANSING, MI
ZIP 48823
Phone: (517) 333-9500
Fax: (517) 333-9509

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Mailing Address

GARY H. DWIGHT, D.D.S., P.C.
818 W LAKE LANSING RD
EAST LANSING, MI
ZIP 48823
Phone: (517) 333-9500
Fax: (517) 333-9509



Authorized Official

Authorized Official NameDR. GARY H DWIGHT D.D.S., M.S.
Authorized Official TitlePRESIDENT
Authorized Official Phone(517) 333-9500

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
T82817MEDICARE UPIN (02)MI
4045412MEDICAID (05)MI
200000001267OTHER (01)MI
5337261MEDICARE PIN (08)MI

Other Providers at the same location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1255333431DR. GARY HAROLD DWIGHT D.D.S., M.S.
Individual
Dentist (Oral and Maxillofacial Pathology)818 W LAKE LANSING RD
EAST LANSING, MI 48823
(517) 333-9500
1811482565ELAN LAKE LANSING
Organization
Clinic/Center (Dental)818 W LAKE LANSING RD
EAST LANSING, MI 48823
(517) 333-9500
1265040539 BLAKE RAMOS
Individual
Dentist (General Practice)818 W LAKE LANSING RD
EAST LANSING, MI 48823
(517) 333-9500

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.