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

C PHILIP DOEZEMA, DDS

Active

C PHILIP DOEZEMA, DDS is a Dentist healthcare provider located in GRAND RAPIDS, Michigan. NPI 1902877988 is currently active in the NPPES registry. Verify at CMS.

Dentist · GRAND RAPIDS, MI

Registration Details

NPI Number
1902877988
Provider Type
Individual
Gender
Male
NPI Issued
Jan 30, 2006 (20.354392469323 yrs)
Last Updated
Jul 8, 2007
License
29010112283 (MI)

Practice Information

Address
2003 BURTON SE
GRAND RAPIDS, MI, 495064600
Browse MI providers · Browse ZIP 49506
Phone
6162437836
Fax
6162437874
Primary Specialty
Dentist
122300000X

Other Dentist Providers in GRAND RAPIDS, MI

Name Credential NPI
DR. JAMES B BRENNAN D.D.S. 1619970522
DR. MICHAEL VINCENT MEHLING D.D.S. 1184618423
DR. KENNETH E FRIESWYK DDS 1821078056
DR. KATHI ANN WILSON DDS 1144291477
PETER ALAN GARCHOW DDS 1659331452
DR. MARK EDWARD PETERSON DDS 1528013661
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.