TOUGH TEETH & GREAT GUMS (NPI# 1104073410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104073410 |
| Entity Type | Organization |
| Organization Name | TOUGH TEETH & GREAT GUMS |
| Practice Address |
1866 10 Mile Rd Ne Comstock Park MI 49321-9669 |
| Practice Telephone | 6164606369 |
| Mailing Telephone | 6164606369 |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2008-08-19 |
| Authorized Official Name | AMY ELIZABETH BROEKSTRA (DIRECTOR) |
| Authorized Official Telephone | 6164606369 |
| Authorized Official Credential | RDH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223D0001X |
Dentist Specialization: Dental Public Health |
2901010721 | MI | Dental Providers |
| Street Address |
1866 10 MILE RD NE |
| City | COMSTOCK PARK |
| State | MI |
| Zip Code | 49321-9669 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386170546 | Carlie Little | Rehabilitation Practitioner | 3913 Leland Ave. Nw, Comstock Park, MI 49321 | 2017-05-10 |
| 1417497892 | Debra Andree | Custodial Care Facility | 609-7 Mile Rd Nw, Comstockpark, MI 49321 | 2017-03-03 |
| 1821484700 | Allan Smith | Registered Nurse | 441 Chasseral Dr Ne, Apt A1, Comstock Park, MI 49321 | 2015-04-08 |
| 1518083864 | Alpine Family Dentistry PC | Dentist | 4040 Alpine Ave Nw, Comstock Park, MI 49321 | 2007-03-21 |
| 1548345630 | James P Patyi | Optometrist | 3999 Alpine Ave, Comstock Park, MI 49321 | 2006-10-26 |
| 1871689638 | Kent Pediatrics, PC | Pediatrics | 4735 West River Dr., Comstock Park, MI 49321 | 2006-10-05 |
| 1053804534 | Zachary Eddy | Physical Therapist | 4615 W River Dr Ne, Comstock Park, MI 49321-7924 | 2018-06-11 |
| 1326052929 | Gregory P. Houghteling | Dentist | 6655 Alpine Ave Nw, Comstock Park, MI 49321-8000 | 2006-07-28 |
| 1194084780 | Detalmax PC | Dentist | 6655 Alpine Ave Nw, Suite 1, Comstock Park, MI 49321-8000 | 2012-05-16 |
| 1154361293 | Jeffrey John Vrielink | Psychiatry & Neurology | 6410 Alpine Ave Nw, Suite A, Comstock Park, MI 49321-8001 | 2006-06-07 |
| Find all providers in zip 49321 | ||||
| Taxonomy Code | 1223D0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Dental Public Health |
| The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083211924 | Spencer P Barnes | Dentist | 300 Meadow Run Dr Ste 2, Hastings, MI 49058-9048 | 2020-10-05 |
| 1063058097 | Jean M Stolt | Dentist | 3434 M 119 Ste G, Harbor Springs, MI 49740-9373 | 2019-11-25 |
| 1508332032 | Smile North Muskegon PC | Dentist | 1915 Holton Rd Ste C, North Muskegon, MI 49445-1533 | 2018-10-23 |
| 1033620703 | All About Smiles Canton P.c | Dentist | 42180 Ford Rd Ste 301, Canton, MI 48187-3677 | 2017-10-20 |
| 1073963831 | Trevor Allen Coeling | Dentist | 628 Progress St, West Branch, MI 48661-9383 | 2016-06-13 |
| 1508229014 | Brightsmiles | Dentist | 33060 Northwestern Hwy, Suit 200, West Bloomfield, MI 48322-3693 | 2016-04-01 |
| 1073997441 | Rami Essak | Dentist | 24100 Drake Rd Ste C, Farmington Hills, MI 48335-3155 | 2015-07-16 |
| 1023404068 | Portable Smiles Consulting LLC | Dentist | 41962 Trent Ct, Canton, MI 48188-5208 | 2015-04-07 |
| 1417348129 | Acurate Mobile Medical Health Systems | Dentist | 20880 Gratiot Ave Ste 111, Eastpointe, MI 48021-2816 | 2015-02-17 |
| 1750782504 | George Daniel | Dentist | 200 Riverfront Dr Apt 3i, Detroit, MI 48226-4592 | 2014-09-11 |
| Find all providers with the same taxonomy | ||||
| City | COMSTOCK PARK |
| Zip Code | 49321 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.