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WESTNEDGE FAMILY DENTISTRY NPI 1013074095


NPI Information

NPI: 1013074095
Provider Name: WESTNEDGE FAMILY DENTISTRY
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
3907 S WESTNEDGE AVE
KALAMAZOO, MI
ZIP 49008
Phone: (269) 345-8893
Get Directions

WESTNEDGE FAMILY DENTISTRY is a general practice dentist in Kalamazoo, MI. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. WESTNEDGE FAMILY DENTISTRY NPI is 1013074095. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3907 S WESTNEDGE AVE
KALAMAZOO, MI
ZIP 49008-187
Phone: (269) 345-8893
Fax: (269) 492-1710

The provider's authorized official is David Charles Sackett .
The authorized official title is Dentist and has the following contact phone number (269) 345-8893.

The enumeration date for this NPI number is 1/2/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice14741MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12901014741OTHERMICHIGANLICENSE
214741OTHERMICHIGANSACKETT-DELTA DENTAL #
317761OTHERMICHIGANMASON-DELTA DENTAL MI
42901016115OTHERMICHIGANTIM JUNGBLUT STATE LICENS
52901017761OTHERMICHIGANLICENSE #
616115OTHERMICHIGANMI DELTA DENTAL # JUNGBLU
73273324MEDICAIDMICHIGAN
83273360MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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