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PGS D-PROVIDER DENTISTRY PLLC
NPI 1639791585
Dentist - General Practice in Marysville, MI

Active since May 14, 2020
1616 GRATIOT BLVD, MARYSVILLE, MI 48040(586) 727-3815 Get Directions Write a Review

NPPES record last updated: May 14, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pgs D-provider Dentistry Pllc NPPES

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

PGS D-PROVIDER DENTISTRY PLLC (NPI 1639791585) is a healthcare organization registered as a general practice in Marysville, Michigan and active in the NPI registry since May 2020. The organization lists Sandi Barnes, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1639791585
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePGS D-PROVIDER DENTISTRY PLLC
Location Address1616 GRATIOT BLVDMarysville, MI 48040-1181
Mailing Address1616 Gratiot BlvdMarysville, MI 48040-1181 · (586) 727-3815
Phone(586) 727-3815
Organization SubpartYes
Authorized OfficialSandi BarnesOffice Manager · (586) 727-3815
Enumeration DateMay 14, 2020
NPPES CertifiedMay 14, 2020
✔ NPI 1639791585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
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.
1616 GRATIOT BLVD, Marysville, MI 48040
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Other Providers at the Same Location NPPES 2

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

DR. SHANE MICHAEL LANGOLF DMD
Dentist (General Practice)
1616 GRATIOT BLVD
MARYSVILLE, MI 48040
St. Clair County (810) 364-7601
BLUE WATER DENTAL GROUP MARYSVILLE PC
Dentist (General Practice)
1616 GRATIOT BLVD
MARYVILLE, MI 48040
St. Clair County (810) 364-7601

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pgs D-Provider Dentistry PLLC's NPI number?

The NPI number for Pgs D-Provider Dentistry PLLC is 1639791585. It was assigned to this organization in the NPPES registry on May 14, 2020.

Where is Pgs D-Provider Dentistry PLLC located?

Pgs D-Provider Dentistry PLLC is located at 1616 Gratiot Blvd, Marysville, MI 48040. The listed phone number is (586) 727-3815.

What is Pgs D-Provider Dentistry PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Pgs D-Provider Dentistry PLLC accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Pgs D-Provider Dentistry PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pgs D-Provider Dentistry PLLC was last updated on May 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.