Professional Dental Associates Pc, NPI 1154592285
General Practice Dentistry in Baldwin, MI, US

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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
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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

1223G0001X

Taxonomy Name General Practice Dentistry
Classification

Dentist

Group

Dental Providers

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.

Other Organization Name

Jensen Shroger Anderson PC
Former Legal Business Name

Business Address

Professional Dental Associates Pc
888 Michigan Ave

Baldwin, MI, US

Phone: 231-745-7231
Fax: 231-745-7246

Mailing Address

Professional Dental Associates Pc
Po Box 152
888 Michigan Ave
Baldwin, MI, US
ZIP 49304
Phone: 231-745-7231
Fax: 231-745-7246

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

1223G0001X

Dental Providers

Dentist

16945 MI No

1223G0001X

Dental Providers

Dentist

19296 MA No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
2007556 MI UCCI 01
8012380 MI BCBS 01

Other Providers in MI, US

NPI Name Taxonomy Address

1659096923

Rafa Therapies

Organization

Rehabilitation Hospital Unit

4745 Michigan Ave

Detroit, MI

1649715194

Leah West

Individual

Family Nurse Practitioner

1 Genesys Pkwy

Grand Blanc, MI

1942923867

MRS. Dayna Calka

Individual

Mental Health Counselor

2399 E Walton Blvd

Auburn Hills, MI

1619225489

DR. PSYD, MPH Shervin Tehrani-rad

Individual

Clinical Psychologist

415 Main St Ste A

Saint Joseph, MI

1770990392

DR. PSYD Amreeta Gill

Individual

Clinical Psychologist

415 Main St Ste A

Saint Joseph, MI

1144940149

Mackenzie Louise Meredith

Individual

Family Nurse Practitioner

1402 W 14 Mile Rd

Clawson, MI

1881058709

DR. M.D., M.S. Marco Antonio Peterson JR.

Individual

Family Medicine Physician

1101 W University Dr

2 South

Rochester, MI

1053804146

PT Esther Karunakar

Individual

Physical Therapist

6711 Westpointe Dr

Troy, MI

1033179189

MD Sailaja Yadavalli

Individual

Diagnostic Radiology Physician

3601 W 13 Mile Rd

Royal Oak, MI

1205896263

MD Jeffery Wong

Individual

Diagnostic Radiology Physician

44201 Dequindre

Troy, MI

1639371859

MRS. P.A.-C Sarah Zukowski Wilhelm

Individual

Physician Assistant

3601 W 13 Mile Rd

Royal Oak, MI

1164482253

MD Bridget Wiater

Individual

Diagnostic Radiology Physician

3601 W 13 Mile Rd

400 Fsc-pcs

Royal Oak, MI

1699735696

MD Robert Weinfeld

Individual

Diagnostic Radiology Physician

44201 Dequindre Rd

Troy, MI

1164482139

M.D. Ann E Swinford

Individual

Diagnostic Radiology Physician

3601 W 13 Mile Rd

Royal Oak, MI

1215568928

Lindsay Essig

Individual

Behavioral Analyst

1913 Cambridge Dr

Kalamazoo, MI

1821453663

LPC Jonathan Hart

Individual

Professional Counselor

52188 Van Dyke Ave Ste 300

Shelby Township, MI

1952958894

DDS, MS Suhaib Alqawasmeh

Individual

General Practice Dentistry

30090 23 Mile Rd

Chesterfield, MI

1205454402

Alexis K Willmore

Individual

Physician Assistant

3950 Hollywood Rd Ste 280

Saint Joseph, MI

1841221108

DR. DO, MPH Jimmy Wayne Brandon

Individual

Preventive Medicine/Occupational Environmental Medicine Physician

G-3100 Van Slyke Road

General Motors Health Services / Flint Assembly

Flint, MI

1891221545

Logan Morse

Individual

Pharmacist

7343 Oakhaven Ct Ne

Ada, MI

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