PROFESSIONAL DENTAL ASSOCIATES PC NPI 1992863401

NPI Information

PROFESSIONAL DENTAL ASSOCIATES PC is a general practice dentist in Big Rapids, 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. PROFESSIONAL DENTAL ASSOCIATES PC NPI is 1992863401. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is Jensen Shroyer Anderson Pc.

The provider's business location address is:

415 SOUTH STATE STREET
BIG RAPIDS, MI
ZIP 49307-049
Phone: (231) 796-3571
Fax: (231) 796-2211

The provider's authorized official is Kevin Todd Mathewson .
The authorized official title is Dentist Owner and has the following contact phone number (231) 796-3571.

The enumeration date for this NPI number is 12/5/2006 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:

Other Identifiers

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