INGRACE DENTAL CLINIC, PLC (NPI# 1114138146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114138146 |
| Entity Type | Organization |
| Organization Name | INGRACE DENTAL CLINIC, PLC |
| Practice Address |
2222 S Linden Rd Suite K Flint MI 48532-5475 |
| Practice Telephone | 8102309802 |
| Mailing Telephone | 8102309802 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. NNENNA NWANYIRIUBA EBODA (PEDIATRIC DENTIST) |
| Authorized Official Telephone | 8102309800 |
| Authorized Official Credential | BDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
2901017887 | MI | Dental Providers |
| Street Address |
2222 S LINDEN RD SUITE K |
| City | FLINT |
| State | MI |
| Zip Code | 48532-5475 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801865019 | Robert M Cleary Jr. | Internal Medicine | 2222 S Linden Rd, Suite A, Flint, MI 48532-5475 | 2006-03-17 |
| 1073902540 | Tonia Maxson | Nurse Practitioner | 2222 S Linden Rd, Suite A, Flint, MI 48532-5475 | 2015-01-21 |
| 1871997437 | Christopher Hammer | Physical Therapist | 2222 S Linden Rd, Suite B, Flint, MI 48532-5475 | 2014-10-10 |
| 1770916678 | Jennifer Lynn Vogt | Nurse Practitioner | 2222 S Linden Rd, Suite A, Flint, MI 48532-5475 | 2013-08-14 |
| 1083958656 | Johnisha Sherree Taylor Chapman | Speech-Language Pathologist | 2222 S Linden Rd, Ste B, Flint, MI 48532-5475 | 2012-11-20 |
| 1477807931 | Donna L Corkins | Nurse Practitioner | 2222 S Linden Rd, Suite A, Flint, MI 48532-5475 | 2012-11-06 |
| 1467789479 | Leah Marie Flynn | Physical Therapist | 2222 S Linden Rd, Ste B, Flint, MI 48532-5475 | 2009-11-11 |
| 1760614838 | Pamela J. Handley | Nurse Practitioner | 2222 S Linden Rd, Suite A, Flint, MI 48532-5475 | 2009-08-21 |
| 1558549683 | Shelly R Martyniakpa | Physician Assistant | 2222 S Linden Rd, Suite A, Flint, MI 48532-5475 | 2008-01-31 |
| 1538356282 | Oakland Psychological Clinic, P.C. | Counselor | 2222 S Linden Rd, Suite J, Flint, MI 48532 | 2007-09-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524859 | Amber Marie Lee | Physician Assistant | 2265 South Lindenroad, Suite A, Flint, MI 48532 | 2020-09-25 |
| 1639709496 | Tammara Kamei | Counselor | 2425 S.linden Rd, Suite D Unit 100, Flint, MI 48532 | 2020-01-21 |
| 1306481882 | Christine Rice | Case Manager/Care Coordinator | 3169 Beecher Road, Flint, MI 48532 | 2019-11-08 |
| 1780154336 | Sarah Marie Shaw | Case Manager/Care Coordinator | 2091 Professional Drive, Flint, MI 48532 | 2018-11-27 |
| 1215412093 | Adria D Haynes | Social Worker | G-4413 Corunna Rd., Flint, MI 48532 | 2018-09-27 |
| 1689159378 | Vip Smiles Dentistry, Pllc | Dentist | 1104 South Linden Rd, Building B, Suite 1, Flint, MI 48532 | 2018-09-27 |
| 1942794797 | Premier Eye Specialists Pllc | Ophthalmology | 1160 S Linden Rd, Bldg. 1 Ste. A, Flint, MI 48532 | 2018-06-15 |
| 1720587710 | Cassandra Socia | Dental Hygienist | G3222 Beecher Road, Flint, MI 48532 | 2018-02-06 |
| 1235660291 | Ashley L Boltjes | Massage Therapist | 3277 Beecher Rd, Flint, MI 48532 | 2017-03-22 |
| 1497202774 | Tyneshia Mcfarland | Home Health | 2104 Ridgecliffe Dr, Flint, MI 48532 | 2016-09-05 |
| Find all providers in zip 48532 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326028044 | Mark Edward Koonmen | Dentist | 1122 S Linden Rd, Flint, MI 48532-3437 | 2006-01-19 |
| 1609850361 | Robert F. Majewski | Dentist | 806 Tuuri Place, Mott Children's Health Center, Flint, MI 48503 | 2005-12-05 |
| 1346650041 | Julie Freeman | Dentist | 806 Tuuri Pl, Flint, MI 48503 | 2014-05-02 |
| 1992092969 | Litsa Karaouzas | Dentist | 806 Tuuri Pl, Flint, MI 48503-2465 | 2011-06-29 |
| 1114168978 | John Michael Sushynski | Dentist | 1125 S Linden Rd, Suite 800, Flint, MI 48532-4073 | 2009-03-09 |
| 1437323904 | Mid-michigan Pediatric Dentistry | Dentist | 1125 S Linden Rd, Suite 800, Flint, MI 48532-4073 | 2008-04-16 |
| 1912020363 | Nnenna Nwanyiriuba Eboda | Dentist | 2222 S Linden Rd, Suite K, Flint, MI 48532-5475 | 2007-04-09 |
| 1396825998 | Mark E. Koonmen, Dds, Ms, PC | Dentist | 1122 S Linden Rd, Flint, MI 48532-3437 | 2006-10-17 |
| 1114039146 | Neerrajah Ramaswami | Dentist | 806 Tuuri Pl, Flint, MI 48503-2465 | 2006-08-31 |
| 1598872681 | Terence Chan | Dentist | 1122 S Linden Rd, Building E, Flint, MI 48532-3437 | 2006-08-24 |
| Find all providers in FLINT | ||||
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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.