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DR. CORNELIUS JAY HUIZINGA D.D.S. NPI 1205990405


NPI Information

NPI: 1205990405
Provider Name: DR. CORNELIUS JAY HUIZINGA, D.D.S.
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
7610 COTTONWOOD DR
SUITE 108
JENISON, MI
ZIP 49428
Phone: (616) 457-0620
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DR. Cornelius Jay Huizinga, D.D.S. is a general practice dentist in Jenison, 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. DR. Cornelius Jay Huizinga, D.D.S. NPI is 1205990405. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7610 COTTONWOOD DR
SUITE 108
JENISON, MI
ZIP 49428-310
Phone: (616) 457-0620
Fax: (616) 457-1600

The enumeration date for this NPI number is 12/21/2006 and was last updated on 7/8/2007.


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 Practice7859MICHIGANYes

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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