Provider Demographics
NPI:1811174162
Name:CHELSEA FAMILY DENTISTRY PLC
Entity type:Organization
Organization Name:CHELSEA FAMILY DENTISTRY PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:TODD
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:NAPIERALSKI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:734-475-8500
Mailing Address - Street 1:123 SOUTH ST
Mailing Address - Street 2:
Mailing Address - City:CHELSEA
Mailing Address - State:MI
Mailing Address - Zip Code:48118-1235
Mailing Address - Country:US
Mailing Address - Phone:734-475-8500
Mailing Address - Fax:734-475-8171
Practice Address - Street 1:123 SOUTH ST
Practice Address - Street 2:
Practice Address - City:CHELSEA
Practice Address - State:MI
Practice Address - Zip Code:48118-1235
Practice Address - Country:US
Practice Address - Phone:734-475-8500
Practice Address - Fax:734-475-8171
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-29
Last Update Date:2015-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI19-5-81-11710OtherBLUE CROSS