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YALE MAIN STREET DENTISTRY, PLLC
NPI 1922575901
Dentist - General Practice in Yale, MI

Active since October 29, 2018

NPPES record last updated: April 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 11, 2024, Jan 1, 2019, Oct 29, 2018 (3 updates tracked since 2018).

About Yale Main Street Dentistry, Pllc NPPES

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

YALE MAIN STREET DENTISTRY, PLLC (NPI 1922575901) is a healthcare organization registered as a general practice in Yale, Michigan and active in the NPI registry since October 2018. The organization maintains a secondary practice location in Lakeport and lists Jeremy Parrott, Member, as its authorized official.

NPPES Registry Identity

NPI1922575901
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameYALE MAIN STREET DENTISTRY, PLLC
Location Address210 S MAIN STYale, MI 48097-3319
Mailing Address6962 Lakeport DrLakeport, MI 48059-2209 · (810) 545-8215
Phone(810) 387-4746
Organization SubpartNo
Authorized OfficialJeremy ParrottMember · (248) 875-7269
Enumeration DateOctober 29, 2018
Last NPPES UpdateApril 11, 20243 updates tracked since enumeration
NPPES CertifiedApril 11, 2024
✔ NPI 1922575901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedClinic/Center · DentalTaxonomy 261QD0000X
210 S MAIN ST, Yale, MI 48097
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Secondary Practice Location 1

Location 16962 Lakeport DrLakeport, MI 48059-2209 · Phone (810) 545-8215

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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

MAIN STREET DENTISTRY, PC
Dentist
210 S MAIN ST
YALE, MI 48097
St. Clair County (810) 387-4746
DR. KEYNA LEE BEHNAN D.D.S
Dentist
210 S MAIN ST
YALE, MI 48097
St. Clair County (248) 971-4348
RYAN SCHROEDER DDS PC
Clinic/Center (Dental)
210 S MAIN ST
YALE, MI 48097
St. Clair County (810) 387-4746

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 Yale Main Street Dentistry, PLLC's NPI number?

The NPI number for Yale Main Street Dentistry, PLLC is 1922575901. It was assigned to this organization in the NPPES registry on October 29, 2018.

Where is Yale Main Street Dentistry, PLLC located?

Yale Main Street Dentistry, PLLC is located at 210 S Main St, Yale, MI 48097. The listed phone number is (810) 387-4746.

What is Yale Main Street Dentistry, PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Yale Main Street Dentistry, PLLC was last updated on April 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.