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OKEMOS DENTAL PLLC NPI 1528686177


NPI Information

NPI: 1528686177
Provider Name: OKEMOS DENTAL, PLLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
4874 MONTROSE AVE
OKEMOS, MI
ZIP 48864
Phone: (517) 349-3110
Get Directions

OKEMOS DENTAL, PLLC is a general practice dentist in Okemos, MI. The provider is 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. OKEMOS DENTAL, PLLC NPI is 1528686177. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4874 MONTROSE AVE
OKEMOS, MI
ZIP 48864-618
Phone: (517) 349-3110
Fax: (517) 349-4693

The provider's authorized official is Kevin Grimm .
The authorized official title is Associate and has the following contact phone number (517) 349-3110.

The enumeration date for this NPI number is 7/9/2020 and was last updated on 7/9/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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