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BRETON GARDENS FAMILY DENTISTRYPLLC NPI 1871863811


NPI Information

NPI: 1871863811
Provider Name: BRETON GARDENS FAMILY DENTISTRY,PLLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
4144 BRETON RD SE
KENTWOOD, MI
ZIP 49512
Phone: (616) 455-0720
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BRETON GARDENS FAMILY DENTISTRY,PLLC is a general practice dentist in Kentwood, 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. BRETON GARDENS FAMILY DENTISTRY,PLLC NPI is 1871863811. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4144 BRETON RD SE
KENTWOOD, MI
ZIP 49512-856
Phone: (616) 455-0720
Fax: (616) 455-0815

The provider's authorized official is Scott Singstock .
The authorized official title is Dentist and has the following contact phone number (616) 455-0720.

The enumeration date for this NPI number is 1/9/2012 and was last updated on 1/22/2013.


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 Practice17291MICHIGANYes

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: 11/14/2023

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