| West Michigan Pedatric Dentistry, Llc | |
|
845 E. 16th St Holland MI 49423 | |
| (616) 392-2381 | |
| (616) 392-3748 |
| Full Name | West Michigan Pedatric Dentistry, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 845 E. 16th St, Holland, Michigan |
| Authorized Official Name and Position | Kathy Wissink (OFFICE MANAGER) |
| Authorized Official Contact | 6163922381 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Michigan Pedatric Dentistry, Llc 845 E. 16th St Holland MI 49423 Ph: (616) 392-2381 | West Michigan Pedatric Dentistry, Llc 845 E. 16th St Holland MI 49423 Ph: (616) 392-2381 |
| NPI Number | 1942327259 |
|---|---|
| Provider Enumeration Date | 03/23/2007 |
| Last Update Date | 09/24/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942327259 | NPI | - | NPPES |
| 4383590-12 | Medicaid | MI | |
| 4383607-12 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 2901012323 (Michigan) | Primary |
Daniel D Gardner Dmd Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 181 W 35th St, Holland, MI 49423 Phone: 616-392-8668 | |
Cln Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 187 Riley St, Holland, MI 49424 Phone: 616-399-1500 Fax: 616-399-8730 | |
Holland Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 545 Michigan Ave, Holland, MI 49423 Phone: 616-396-1058 | |
Stout And Gordon Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12723 N Bellwood St, Suite 30, Holland, MI 49424 Phone: 616-399-8230 Fax: 616-399-8374 | |
Little Red Pediatric Dentistry, Plc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12723 N Bellwood Dr Ste 20, Holland, MI 49424 Phone: 616-377-7333 Fax: 616-399-8374 | |
Dental Office Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 170 College Ave, #220, Holland, MI 49423 Phone: 616-392-2302 Fax: 616-392-9060 | |
Scott Vanslambrouck Dentistry, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 455 Butternut Dr, Holland, MI 49424 Phone: 616-394-4700 Fax: 616-394-4883 |