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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. KRISTEN CHARLENE PONICHTER, DMD

Active

DR. KRISTEN CHARLENE PONICHTER, DMD is a Pediatric Dentistry healthcare provider located in HAZEL PARK, Michigan. NPI 1821304858 is currently active in the NPPES registry. Verify at CMS.

Pediatric Dentistry · HAZEL PARK, MI

Registration Details

NPI Number
1821304858
Provider Type
Individual
Gender
Female
NPI Issued
Aug 27, 2010 (15.954613728758 yrs)
Last Updated
Jan 18, 2024
License
2901020315 (MI)

Practice Information

Address
22241 JOHN R RD
HAZEL PARK, MI, 480301716
Browse MI providers · Browse ZIP 48030
Phone
2483360356
Primary Specialty
Pediatric Dentistry
1223P0221X
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.