Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRENT A MEDEMA, D.D.S.
Active Sole ProprietorDR. BRENT A MEDEMA, D.D.S. is a Endodontics healthcare provider located in CALEDONIA, Michigan. NPI 1043628670 is currently active in the NPPES registry. Verify at CMS.
Endodontics · CALEDONIA, MI
Registration Details
- NPI Number
- 1043628670
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 28, 2014 (12.055214016979 yrs)
- Last Updated
- Jul 28, 2014
- License
-
2901021310 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
9021 N RODGERS CT SESUITE ECALEDONIA, MI, 493167649Browse MI providers · Browse ZIP 49316
- Phone
- 6168911400
- Primary Specialty
-
Endodontics
1223E0200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.