DENTAL HEALTH PROFESSIONALS NPI 1689645053

NPI Information

NPI: 1689645053
Provider Name: DENTAL HEALTH PROFESSIONALS
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
7800 US 131 S
CADILLAC, MI
ZIP 49601
Phone: (231) 775-9797
Get Directions

DENTAL HEALTH PROFESSIONALS is a general practice dentist in Cadillac, 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. DENTAL HEALTH PROFESSIONALS NPI is 1689645053. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7800 US 131 S
CADILLAC, MI
ZIP 49601-437
Phone: (231) 775-9797
Fax: (231) 775-9793

The provider's authorized official is Michael E. Lueder .
The authorized official title is Owner and has the following contact phone number (231) 775-9797.

The enumeration date for this NPI number is 2/1/2006 and was last updated on 1/27/2012.

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
1	1223G0001X	Dentist	General Practice	19225	MICHIGAN	No
2	1223G0001X	Dentist	General Practice	11025	MICHIGAN	No
3	1223G0001X	Dentist	General Practice	11842	MICHIGAN	No
4	1223G0001X	Dentist	General Practice	15351	MICHIGAN	No
5	1223G0001X	Dentist	General Practice	11088	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	122633451	MEDICAID	MICHIGAN
2	124993571	MEDICAID	MICHIGAN
3	124038196	MEDICAID	MICHIGAN
4	121637732	MEDICAID	MICHIGAN
5	121637750	MEDICAID	MICHIGAN

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

NPI Synchronization or Removal

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