Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GADIA KUMUNJUN PEABODY, DDS
Active Sole ProprietorDR. GADIA KUMUNJUN PEABODY, DDS is a Pediatric Dentistry healthcare provider located in MUSKEGON, Michigan. NPI 1457570863 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · MUSKEGON, MI
Registration Details
- NPI Number
- 1457570863
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 24, 2007 (19.334904064246 yrs)
- Last Updated
- Dec 6, 2016
- Licenses
-
63907 (CA)019026130 (IL)2901011507 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2201 S GETTY STMUSKEGON, MI, 494441207Browse MI providers · Browse ZIP 49444
- Phone
- 2317679830
- Fax
- 2317371808
- Primary Specialty
-
Pediatric Dentistry
1223P0700X
- Additional Specialty
- General Dentistry
- Additional Specialty
- Pediatric Dentistry
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.