DR. MARK JESIN


Address: 3855 Burton St Se Ste B, Grand Rapids, MI 49546
Phone: 6163690360

DR. MARK JESIN (NPI# 1184885154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184885154
Entity Type Individual
Full Name DR. MARK JESIN
Credential DDS
Practice Address 3855 Burton St Se Ste B
Grand Rapids
MI 49546
Mailing Address 3855 Burton St Se Ste B
Grand Rapids
MI 49546-6147
Practice Telephone 6163690360
Practice Fax Number 6163690361
Mailing Telephone 6163690360
Mailing Fax Number 6163690361
Enumeration Date 2008-06-22
Last Update Date 2019-02-13
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
L2299335 MI Dental Providers

Office Location

Street Address 3855 BURTON ST SE STE B
City GRAND RAPIDS
State MI
Zip Code 49546

Providers in the same location

NPI Name Taxonomy Address Enumeration
1508324732 Advanced Oral Surgery, Pllc Dentist 3855 Burton St Se Ste B, Grand Rapids, MI 49546-6147 2019-03-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437762986 Amanda Mae Ostrom Speech-Language Pathologist 710 Kenmore Ave Se, #110, Grand Rapids, MI 49546 2020-08-25
1063075562 Kelly Lynn Ibarra Counselor 4467 Cascade Road Se, Suite #4479, Grand Rapids, MI 49546 2019-04-19
1891257036 Jessica Matthews LLC Counselor 4127 Embassy Drive Se, Grand Rapids, MI 49546 2019-04-05
1326518531 Neah Morgan Technician 4220 Burton St Se, Grand Rapids, MI 49546 2018-11-29
1316430267 Michael John Benskey Case Manager/Care Coordinator 4065 Saladin St Se, Grand Rapids, MI 49546 2018-06-14
1679062772 Smile Cascade, P.C. Clinic/Center 4505 Cascade Rd Se # A, Grand Rapids, MI 49546 2018-05-03
1720583289 Jeromy Krogman Counselor 826 Parchment Drive Se, Grand Rapids, MI 49546 2018-03-27
1841792660 Affordable Hearing Clinic Hearing Instrument Specialist 833 Kenmoor Ave Se Ste G, Grand Rapids, MI 49546 2018-03-07
1689176133 Kelly Pines Physical Therapist 625 Kenmoor Ave Suite 306, Grand Rapids, MI 49546 2018-03-01
1467971440 Deanna Elizabeth Saenz Social Worker 2100 Raybrook St Se Ste 300, Grand Rapids, MI 49546 2017-09-12
Find all providers in zip 49546

Taxonomy Information

Taxonomy Code 1223S0112X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Surgery

Taxonomy Definition

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730440983 Igor Makovey Dentist 4500 Cascade Rd Se Ste 208, Grand Rapids, MI 49546-3665 2012-06-05
1598084147 Bradley Michael Robinson Dentist 200 43rd Street Se, Suite D, Grand Rapids, MI 49508 2010-05-21
1629140116 Robert John Rosema Dentist 2017 Eastcastle Dr Se, Suite C, Grand Rapids, MI 49508 2006-11-14
1679668529 Oral and Maxillofacial Surgical Associates Dentist 813 S Pokegama Ave, Grand Rapids, MN 55744-3934 2006-10-04
1003908575 Robert L Kintz Dentist 2144 E Paris Ave Se, Suite 150, Grand Rapids, MI 49546-6111 2006-09-29
1740371087 Richard W Panek Dentist 4349 Sawkaw Dr Ne, Grand Rapids, MI 49525-1768 2006-09-28
1033223250 Oral Surgery Associates, PC Dentist 2144 E Paris Ave Se Ste 150, Grand Rapids, MI 49546-6126 2006-08-17
1427002377 David R Dalrymple Dentist 550 3 Mile Rd Nw, Grand Rapids, MI 49544-8207 2006-05-22
1508324732 Advanced Oral Surgery, Pllc Dentist 3855 Burton St Se Ste B, Grand Rapids, MI 49546-6147 2019-03-06
1992945943 Alpine Oral Surgery PC Dentist 550 3 Mile Rd Nw, Grand Rapids, MI 49544-8207 2009-03-04
Find all providers in GRAND RAPIDS

Competitor

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City GRAND RAPIDS
Zip Code 49546

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Dataset Information

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.

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