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

PROFESSIONAL DENTAL ASSOCIATES PC

Active Organization

PROFESSIONAL DENTAL ASSOCIATES PC is a General Dentistry organization located in BIG RAPIDS, Michigan. NPI 1992863401 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · BIG RAPIDS, MI

Registration Details

NPI Number
1992863401
Provider Type
Organization
NPI Issued
Dec 5, 2006 (19.704667315594 yrs)
Last Updated
Aug 22, 2020
Licenses
2901019404 (MI)
2901010102 (MI)
2901019403 (MI)
2901016945 (MI)

Practice Information

Address
415 SOUTH STATE STREET
BIG RAPIDS, MI, 493072049
Browse MI providers · Browse ZIP 49307
Phone
2317963571
Fax
2317962211
Primary Specialty
General Dentistry
1223G0001X
Additional Specialty
General Dentistry
Additional Specialty
General Dentistry
Additional Specialty
General Dentistry

Other General Dentistry Organizations in BIG RAPIDS, MI

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.