MID-MICHIGAN DISTRICT HEALTH DEPARTMENT
NPI 1376859173
Dentist - Dental Public Health in Stanton, MI

Active since August 31, 2010CLIA 23D2027758 · Microscopy
615 N STATE ST, STANTON, MI 48888(989) 831-5237(989) 831-3666 Get Directions Write a Review

NPPES record last updated: July 26, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 26, 2021, Jun 3, 2021, May 25, 2021 (3 updates tracked since 2021).

About Mid-michigan District Health Department NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MID-MICHIGAN DISTRICT HEALTH DEPARTMENT (NPI 1376859173) is a healthcare organization registered as a dental public health in Stanton, Michigan and active in the NPI registry since August 2010. The organization holds a CLIA Microscopy certificate valid through July 31, 2027 and lists Melissa Selby, Director Of Administrative Services, as its authorized official.

NPPES Registry Identity

NPI1376859173
Entity TypeOrganization
Primary Taxonomy1223D0001X
Legal Business NameMID-MICHIGAN DISTRICT HEALTH DEPARTMENT
Location Address615 N STATE STStanton, MI 48888-9702
Mailing Address615 N State StStanton, MI 48888-9702 · (989) 831-5237 · Fax (989) 831-5522
Fax(989) 831-3666
Organization SubpartNo
Authorized OfficialMelissa SelbyDirector Of Administrative Services · (989) 831-3641
Enumeration DateAugust 31, 2010
Last NPPES UpdateJuly 26, 20213 updates tracked since enumeration
NPPES CertifiedJuly 26, 2021
NPI 1376859173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Dental Public HealthDental Providers
Taxonomy Code1223D0001X
Definition

The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis.

Also ListedDentist · General PracticeTaxonomy 1223G0001X
615 N STATE ST, Stanton, MI 48888

Other Identifiers 1

Other2901018840MI · Dental

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 23D2027758

Mid Michigan District Health Department · Stanton, MI
Active · expires Jul 31, 2027
CLIA Number23D2027758
Laboratory TypePublic Health Laboratories
Certificate Effective DateAugust 1, 2025
Certificate Expiration DateJuly 31, 2027
Laboratory DirectorJennifer E. Morse
Laboratory Phone(989) 831-3610
Laboratory LocationMid Michigan District Health Department615 N State Street Suite 1, Stanton, MI 48888
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Women's Health)
615 N STATE ST, SUITE 2
STANTON, MI 48888
Dental Hygienist
615 N STATE ST, STE 1
STANTON, MI 48888
Preventive Medicine (Public Health & General Preventive Medicine)
615 N STATE ST, STE. 1
STANTON, MI 48888
Preventive Medicine (Public Health & General Preventive Medicine)
615 N STATE ST
STANTON, MI 48888

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376859173, enumerated as an "organization" on August 31, 2010.

The provider is located at 615 N STATE ST STANTON, MI 48888 and the phone number is (989) 831-5237.

Dentist with taxonomy code 1223D0001X and a focus in Dental Public Health.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.