MATTAWAN DENTAL PLC DBA TEXAS CORNERS DENTAL NPI 1720707300

NPI Information

  • NPI: 1720707300
  • Provider Name: MATTAWAN DENTAL, PLC, DBA TEXAS CORNERS DENTAL
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 6780 W Q AVE
    KALAMAZOO, MI
    ZIP 49009
  • Phone: (269) 372-2400

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NPI Details

MATTAWAN DENTAL, PLC, DBA TEXAS CORNERS DENTAL is a dental clinic center in Kalamazoo, MI. MATTAWAN DENTAL, PLC, DBA TEXAS CORNERS DENTAL NPI is 1720707300. The provider is registered as an organization entity type.

The provider's business location address is:

6780 W Q AVE
KALAMAZOO, MI
ZIP 49009-961
Phone: (269) 372-2400

The provider's authorized official is Dorothy Kristina Griswold .
The authorized official title is Owner/dentist and has the following contact phone number (269) 352-0980.

The enumeration date for this NPI number is 8/25/2022 and was last updated on 8/25/2022.

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
1261QD0000XClinic/CenterDentalYes

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: 3/30/2025

NPI Synchronization or Removal

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