N E W UP DENTAL
NPI 1215194832
Dentist in Menominee, MI

NPI Status: Active since May 21, 2008

Contact Information

4103 10TH ST
MENOMINEE, MI
ZIP 49858
Phone: (906) 863-2206
Fax: (906) 863-6389

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  • Organization
  • Dentist

About N E W UP DENTAL

This page provides the complete NPI Profile along with additional information for N E W Up Dental, a provider established in Menominee, Michigan operating as a Dentist. The healthcare provider is registered in the NPI registry with number 1215194832 assigned on May 2008. The practitioner's primary taxonomy code is 122300000X with license number 2901010258 (MI). The provider is registered as an organization and their NPI record was last updated 17 years ago. N E W Up Dental operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's other name is N E W Up Dental. The authorized official of this NPI record is Donald Thomas Park Dds (Half Owner)

NPI
1215194832
Provider Legal Name
NORTHWEST WISCONSIN UPPER PENINSULA DENTAL PC
Other Organization Name
N E W UP DENTAL
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
4103 10TH ST MENOMINEE, MI 49858
Location Phone
(906) 863-2206
Location Fax
(906) 863-6389
Mailing Address
4103 10TH ST MENOMINEE, MI 49858
Mailing Phone
(906) 863-2206
Mailing Fax
(906) 863-6389
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-21-2008
Last Update Date
05-21-2008
Code Navigator

A dentist like N E W Up Dental 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

Taxonomy Code
122300000X
Type
Dental Providers
License No.
2901010258
License State
MI
Taxonomy Description
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

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)
1122300000XDental Providers

Dentist

2901017418 (MI)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DONALD THOMAS PARK DDS

Authorized Official Title
HALF OWNER
Authorized Official Phone
(906) 863-2206

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1215194832
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
222529886
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 2 + 5 + 2 + 9 + 8 + 8 + 6 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1215194832 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1225254105DR. NORTH ARTHUR SHETTER DDS
Individual
Dentist4103 10TH ST
MENOMINEE, MI 49858
(906) 863-2206
1952527848DR. DONALD THOMAS PARK DDS
Individual
Dentist4103 10TH ST
MENOMINEE, MI 49858
(906) 863-2206

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215194832, enumerated in the NPI registry as an "organization" on May 21, 2008

The provider is located at 4103 10th St Menominee, Mi 49858 and the phone number is (906) 863-2206

This medical organization specializes in Dentist with taxonomy code 122300000X

This NPI record was last updated on May 21, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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