Mark E. Koonmen, Dds, Ms, Pc in Flint - Pediatric Dentistry
Mark E. Koonmen, Dds, Ms, Pc - NPI 1396825998
Mark E. Koonmen, Dds, Ms, Pc is a Pediatric Dentistry in Flint, Michigan. Mark E. Koonmen, Dds, Ms, Pc practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Mark E. Koonmen, Dds, Ms, Pc is 1396825998. The last update date is 2008-03-24.
Mark E. Koonmen, Dds, Ms, Pc's current location address is 1122 S Linden Rd, Flint, Michigan. You can contact this provider via phone number 8107320640 and fax number 8107322264. The mailing address for Mark E. Koonmen, Dds, Ms, Pc is 1122 S Linden Rd, Flint, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mark E. Koonmen, Dds, Ms, Pc |
|---|---|
| Address | 1122 S Linden Rd, Flint, Michigan |
| Phone Number | 8107320640 |
| Fax Number | 8107322264 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/PRES |
|---|---|
| Authorized Official Name | Koonmen Edward Mark |
| Credentials | DDS |
| Telephone Number | 8107320640 |
NPI Number Detail
| NPI Number | 1396825998 |
|---|---|
| Provider Enumeration Date | 2006-10-17 |
| Last Updated Date | 2008-03-24 |
Provider Mailing Address Detail
| Address | 1122 S Linden Rd |
|---|---|
| City | Flint |
| State | Michigan (MI) |
| Post Code | 485323437 |
| Phone Number | 8107320640 |
| Fax Number | 8107322264 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 13770 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1831730 | MI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Mark E. Koonmen, Dds, Ms, Pc by the Centers for Medicare & Medicaid Services?
The Mark E. Koonmen, Dds, Ms, Pc has been assigned the NPI (National Provider Identifier) 1396825998 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Mark E. Koonmen, Dds, Ms, Pc located?
The Mark E. Koonmen, Dds, Ms, Pc is located at 1122 S Linden Rd, Flint, MI 485323437.
What is the Mark E. Koonmen, Dds, Ms, Pc's specialty and taxonomy code?
The Mark E. Koonmen, Dds, Ms, Pc's specialty is Pediatric Dentistry, and the corresponding taxonomy code is 1223P0221X.
When did Mark E. Koonmen, Dds, Ms, Pc receive its 1396825998 assignment?
The Mark E. Koonmen, Dds, Ms, Pc was assigned its 1396825998 on 2006-10-17, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Mark E. Koonmen, Dds, Ms, Pc most recently updated or revised?
The details related to Mark E. Koonmen, Dds, Ms, Pc, including its address, specialty, and other relevant information, were last updated or revised on 2008-03-24.