MID MICHIGAN DENTAL IMPLANT CENTER, PC
NPI 1992204952
Dentist - General Practice in Stanton, MI
NPI Status: Active since February 06, 2018
Contact Information
800 N STATE ST STE 151
STANTON, MI
ZIP 48888
Phone: (866) 438-6464
Fax: (989) 831-9020
- Organization
- Dentist
- General Practice
- CLIA Number: 23D2027758
- CLIA Cert. Type: Public Health Laboratories
- CLIA Exp. Date: 07-31-2027
About MID MICHIGAN DENTAL IMPLANT CENTER, PC
This page provides the complete NPI Profile along with additional information for Mid Michigan Dental Implant Center, Pc, a provider established in Stanton, Michigan operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1992204952 assigned on February 2018. The practitioner's primary taxonomy code is 1223G0001X. The provider is registered as an organization and their NPI record was last updated 8 years ago. Mid Michigan Dental Implant Center, Pc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. 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. David Lee Dockham Dds, Pc (President)
- NPI
- 1992204952
- Provider Name
- MID MICHIGAN DENTAL IMPLANT CENTER, PC
- Entity Type
- Organization
- Location Address
- 800 N STATE ST STE 151 STANTON, MI 48888
- Location Phone
- (866) 438-6464
- Location Fax
- (989) 831-9020
- Mailing Address
- 800 N STATE ST STE 151 STANTON, MI 48888
- Mailing Phone
- (866) 438-6464
- Mailing Fax
- (989) 831-9020
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-06-2018
- Last Update Date
- 02-06-2018
- Code Navigator
A dentist like Mid Michigan Dental Implant Center, Pc 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
- License State
- MI
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 122300000X | Dental Providers | Dentist | 2901013734 (MI) |
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
- 23D2027758
- Facility Type
- Public Health Laboratories
- Certificate Effective Date
- August 01, 2025
- Certificate Expiration Date
- July 31, 2027
- Laboratory Director
- JENNIFER E. MORSE
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Mid Michigan Dental Implant Center, Pc 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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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1992204952, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 68 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1992204952, enumerated as an "organization" on February 06, 2018.
The provider is located at 800 N STATE ST STE 151 STANTON, MI 48888 and the phone number is (866) 438-6464.
Dentist with taxonomy code 1223G0001X and a focus in General Practice.
