ROSCOMMON FAMILY DENTISTRY NPI 1568903573

NPI Information

  • NPI: 1568903573
  • Provider Name: ROSCOMMON FAMILY DENTISTRY
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • CLIA Number: 23D2086745
  • Address: 188 PINE BLUFFS RD
    ROSCOMMON, MI
    ZIP 48653
  • Phone: (989) 281-9222

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NPI Details

ROSCOMMON FAMILY DENTISTRY is a general practice dentist in Roscommon, MI. The provider is 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. ROSCOMMON FAMILY DENTISTRY NPI is 1568903573. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

188 PINE BLUFFS RD
ROSCOMMON, MI
ZIP 48653-328
Phone: (989) 281-9222
Fax: (989) 821-4981

The provider's authorized official is Kevin Rucinski .
The authorized official title is Dentist and has the following contact phone number (989) 821-9222.

The CLIA number assigned to this NPI record is 23D2086745 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/10/2017 and was last updated on 3/10/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice14132MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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