SPECTRA DENTAL SPECIALISTS - NPI 1619599297

Q: What is the provider's specialty?

The provider's specialty is Dentist with taxonomy code 1223P0300X and a focus in Periodontics.

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About Spectra Dental Specialists NPPES

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

SPECTRA DENTAL SPECIALISTS (NPI 1619599297) is a healthcare organization registered as a periodontics in Troy, Michigan and active in the NPI registry since May 2020. The organization lists Brittany Chapman, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1619599297

Entity TypeOrganization

Primary Taxonomy1223P0300X

Legal Business NameALABAMA DENTAL SPECIALIST LLC

Location Address800 KIRTS BLVD STE 650Troy, MI 48084-4850

Mailing Address800 Kirts Blvd Ste 650Troy, MI 48084-4850 · (248) 842-3670 · Fax (586) 991-1933

Phone(248) 842-3670

Fax(586) 991-1933

Organization SubpartNo

Authorized OfficialBrittany ChapmanCredentialing Manager · (248) 842-3670

Enumeration DateMay 18, 2020

Last NPPES UpdateApril 10, 20242 updates tracked since enumeration

NPPES CertifiedApril 10, 2024

✔ NPI 1619599297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

800 KIRTS BLVD STE 650, Troy, MI 48084

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Other Names 1

Doing Business AsSpectra Dental Specialists

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 7

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

DR. BRANDON KEITH THOMPSON DDS, MHS

Dentist (Orthodontics and Dentofacial Orthopedics)