Kentwood Dental Associates in Grand Rapids - Dentist
Kentwood Dental Associates - NPI 1194992933
Kentwood Dental Associates is a Dentist in Grand Rapids, Michigan. Kentwood Dental Associates practices all healthcare services and medical treatments related to Dentist. The NPI Number for Kentwood Dental Associates is 1194992933. The last update date is 2008-05-12.
Kentwood Dental Associates's current location address is 6208 Kalamazoo Ave Se, Grand Rapids, Michigan. You can contact this provider via phone number 6165545970. The mailing address for Kentwood Dental Associates is 6208 Kalamazoo Ave Se, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Kentwood Dental Associates |
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Address | 6208 Kalamazoo Ave Se, Grand Rapids, Michigan |
Phone Number | 6165545970 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PART OWNER |
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Authorized Official Name | Conlon M Steven |
Credentials | D.D.S. |
Telephone Number | 6165545970 |
NPI Number Detail
NPI Number | 1194992933 |
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Provider Enumeration Date | 2008-05-12 |
Last Updated Date | 2008-05-12 |
Provider Mailing Address Detail
Address | 6208 Kalamazoo Ave Se |
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City | Grand Rapids |
State | Michigan (MI) |
Post Code | 495087893 |
Phone Number | 6165545970 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Dentist |
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Taxonomy | 122300000X |
Licence No | 17185 |
Definition: 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: denti |
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What is the unique identifier code issued to Kentwood Dental Associates by the Centers for Medicare & Medicaid Services (CMS)?
The Kentwood Dental Associates has been assigned the NPI (National Provider Identifier) 1194992933. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Kentwood Dental Associates is located?
The Kentwood Dental Associates is situated at the following address: 6208 Kalamazoo Ave Se, Grand Rapids, MI, 495087893.
What is Kentwood Dental Associates's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kentwood Dental Associates is Dentist, and the taxonomy code that classifies this field of practice is 122300000X.
On what date did the Kentwood Dental Associates receive its 1194992933 assignment from the Centers for Medicare & Medicaid Services?
The Kentwood Dental Associates was assigned its 1194992933 by the Centers for Medicare & Medicaid Services on 2008-05-12.
As of what date were the details related to Kentwood Dental Associates most recently updated or revised?
The information pertaining to Kentwood Dental Associates, including its address, specialty, and other relevant details, was last updated or revised on 2008-05-12.