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STOUT AND GORDON FAMILY DENTISTRY PLC NPI 1063537173


NPI Information

NPI: 1063537173
Provider Name: STOUT AND GORDON FAMILY DENTISTRY PLC

Doing Business As: STOUT AND GORDON FAMILY DENTISTRY

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
12723 N BELLWOOD ST
SUITE 30
HOLLAND, MI
ZIP 49424
Phone: (616) 399-8230
Get Directions

STOUT AND GORDON FAMILY DENTISTRY PLC is a general practice dentist in Holland, 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. STOUT AND GORDON FAMILY DENTISTRY PLC NPI is 1063537173. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Stout And Gordon Family Dentistry.

The provider's business location address is:

12723 N BELLWOOD ST
SUITE 30
HOLLAND, MI
ZIP 49424-275
Phone: (616) 399-8230
Fax: (616) 399-8374

The provider's authorized official is Daniel Gordon .
The authorized official title is Dentist and has the following contact phone number (616) 399-8230.

The enumeration date for this NPI number is 3/20/2007 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice2901014148MICHIGANNo
21223G0001XDentistGeneral Practice2901018180MICHIGANYes

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: 5/5/2024

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