Professional Dental Associates Pc, NPI 1154592285
General Practice Dentistry in Baldwin, MI, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1154592285 |
| NPI Entity Type | Organization |
| Provider Name |
Professional Dental Associates Pc
Former Legal Business Name |
| Subpart of Organization | Professional Dental Associates Pc |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 888 Michigan Ave, Baldwin, MI, US |
| Provider Mailing Address | Po Box 152, 888 Michigan Ave, Baldwin, MI, US, 49304 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | DR. DDS Kevin T Mathewson |
| Official Position | DENTIST OWNER |
| Phone | 231-796-3571 |
Group Taxonomy
| Taxonomy Code | 193200000X |
| Taxonomy Name | 193200000X MULTI-SPECIALTY GROUP |
| Definition | A business group of one or more individual practitioners, who practice with different areas of specialization. |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | General Practice Dentistry |
| Classification | |
| Group | |
| License No. | 10102 |
| License State | MI |
| Description | 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. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| 16945 | MI | No | |||
| 19296 | MA | No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 2007556 | MI | UCCI | 01 |
| 8012380 | MI | BCBS | 01 |
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