MICHIGAN MAINSTREET DENTISTRY PLC
NPI 1144774274
Dentist - General Practice in Clarkston, MI
- Organization
- Dentist
- General Practice
- CLIA Number: 23D2072024
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 01-22-2026
About MICHIGAN MAINSTREET DENTISTRY PLC
This page provides the complete NPI Profile along with additional information for Michigan Mainstreet Dentistry Plc, a provider established in Clarkston, Michigan operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1144774274 assigned on August 2016. The practitioner's primary taxonomy code is 1223G0001X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Glenn Curtis (Owner)
- NPI
- 1144774274 Verify this NPI
- Provider Name
- MICHIGAN MAINSTREET DENTISTRY PLC
- Entity Type
- Organization
- Location Address
- 22 S MAIN ST CLARKSTON, MI 48346
- Location Phone
- (248) 625-8494
- Mailing Address
- 22 S MAIN ST CLARKSTON, MI 48346
- Mailing Phone
- (248) 625-8494
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-05-2016
- Last Update Date
- 08-05-2016
- Code Navigator
A dentist like Michigan Mainstreet Dentistry Plc is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist General Practice
- Taxonomy Code
- 1223G0001X
- Type
- Dental Providers
- Taxonomy Description
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 23D2072024
- Facility Type
- Physician Office
- Certificate Effective Date
- January 23, 2024
- Certificate Expiration Date
- January 22, 2026
- Laboratory Director
- ADAM J. GADZINSKI
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Michigan Mainstreet Dentistry Plc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1144774274, enumerated as an "organization" on August 05, 2016.
The provider is located at 22 S MAIN ST CLARKSTON, MI 48346 and the phone number is (248) 625-8494.
Dentist with taxonomy code 1223G0001X and a focus in General Practice.