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Orthodontic practice in Warren, MI

Registered orthodontistLicense # listed (MI)

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Public-record details

Address
4600 E 14 Mile Rd Ste 3/4, Warren, MI 48092
Phone
(586) 999-9000
Listed under
Orthodontic practices
NPI
1477040087
NPI status
Active in the NPPES registry
Provider type
Organization (practice, clinic or company)
Registered specialty (self-reported taxonomy)
Orthodontics and Dentofacial Orthopedics (1223X0400X)
License number on NPI record
2901022120 (MI)
Authorized official
Raphael Putrus, DMD, President, Chief Orthodontist
NPI first issued
Apr 18, 2018
NPI record last updated
Sep 8, 2018

NPI 1477040087 is active in the federal NPPES registry (CMS) with Orthodontics and Dentofacial Orthopedics, an ADA-recognized dental specialty, as its primary taxonomy; license 2901022120 (MI) is listed on the record. Source: NPPES NPI Registry (CMS) (record). Data as of 2026-09-30.

What these registry facts mean

The NPI (National Provider Identifier) is the federal ID every HIPAA-covered provider uses to bill insurance. This NPI belongs to an organization, so it may cover several clinicians at this location. The specialty is the taxonomy the provider chose when registering; NPPES does not check it. A license number here is what the provider entered — confirm it with the state board before you rely on it. Orthodontists are dentists who completed an accredited orthodontic residency after dental school. General dentists can also offer braces or aligners, but they are not listed here.

View NPI 1477040087 in the official registry ↗

Checking credentials: the specialty shown is the one this provider registered with the NPI system. Your state dental board's license lookup confirms the license, and the American Board of Orthodontics lists board-certified orthodontists.

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