BECKWITH FAMILY DENTAL CARE PLC (NPI# 1366518391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366518391 |
| Entity Type | Organization |
| Organization Name | BECKWITH FAMILY DENTAL CARE PLC |
| Practice Address |
1726 Leonard St Ne Grand Rapids MI 49505-5636 |
| Practice Telephone | 6164590478 |
| Practice Fax Number | 6167426021 |
| Mailing Telephone | 6164590478 |
| Mailing Fax Number | 6167426021 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JOSEPH HASSE KIRKWOOD (GENERAL DENTIST PARTNER) |
| Authorized Official Telephone | 6164590478 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 2901013583 | MI | Dental Providers |
| N | 122300000X | Dentist | 2901018904 | MI | Dental Providers |
| Y | 122300000X | Dentist | 2901016145 | MI | Dental Providers |
| Street Address |
1726 LEONARD ST NE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49505-5636 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588290951 | Daniel W Grode Pllc | Clinic/Center | 1726 Leonard St Ne, Grand Rapids, MI 49505-5636 | 2020-03-18 |
| 1821435454 | Daniel Wayne Grode | Dentist | 1726 Leonard St Ne, Grand Rapids, MI 49505-5636 | 2013-05-22 |
| 1114106994 | John David Bruinsma | Dentist | 1726 Leonard St Ne, Grand Rapids, MI 49505-5636 | 2007-10-30 |
| 1750570651 | Joseph Hasse Kirkwood | Dentist | 1726 Leonard St Ne, Grand Rapids, MI 49505-5636 | 2007-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285276097 | Molly Beth Kerkstra | Home Health Aide | 1115 Ball Ave Nw, Grand Rapids, MI 49505 | 2019-10-14 |
| 1154849677 | Roshawn Nichol Whitley | Technician | 891 Maryland Ave, Grand Rapids, MI 49505 | 2017-09-05 |
| 1447778923 | Kelly Benzin-brinks | Social Worker | 1965 3 Mile Rd Ne, Grand Rapids, MI 49505 | 2017-09-05 |
| 1033560404 | Taylor Nolan Boyd | Speech-Language Pathologist | 400 Ann St Ne Ste 106a, Grand Rapids, MI 49505 | 2016-06-28 |
| 1023465002 | Calvin Athy | Counselor | 1101 Ballave Ne, Grand Rapids, MI 49505 | 2016-05-19 |
| 1821456682 | Kelly Van Huisen | Counselor | 1115 Ball Avenue Ne, Building B, Grand Rapids, MI 49505 | 2016-02-08 |
| 1780051102 | Mark Squeteri | Social Worker | 1345 Monroe Ave Nw Ste 234, Grand Rapids, MI 49505 | 2015-09-02 |
| 1346637337 | Shelby Fullington | Social Worker | 1011 Ball Ave Ne, Grand Rapids, MI 49505 | 2015-04-17 |
| 1457745325 | Lester Anderson II | Social Worker | 1115 Ball Ave, Grand Rapids, MI 49505 | 2015-03-27 |
| 1730570151 | Nicole Brown | Counselor | 1345 Monroe Ave Nw Ste 204, Grand Rapids, MI 49505 | 2015-02-06 |
| Find all providers in zip 49505 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639797640 | Kadie Ann Koolwick | Dentist | 5500 Northland Dr Ne, Grand Rapids, MI 49525-1064 | 2020-07-07 |
| 1962053744 | Gr Sound Sleep LLC | Dentist | 6677 Crossings Dr Se Ste 4, Grand Rapids, MI 49508-7889 | 2019-09-24 |
| 1598323016 | Kelly Reinhardt | Dentist | 847 Parchment Dr Se Ste 110, Grand Rapids, MI 49546-2377 | 2019-05-30 |
| 1063079242 | Andrew Stuart Kuehn | Dentist | 1121 Se 4th Ave, Grand Rapids, MN 55744-3956 | 2019-05-23 |
| 1316467954 | Hendrik Vanholsbeeck | Dentist | 2515 Alpine Ave Nw # A, Grand Rapids, MI 49544 | 2017-06-25 |
| 1710417969 | Mccoy Family Dentistry | Dentist | 2330 44th St Se, Grand Rapids, MI 49508-4700 | 2017-06-19 |
| 1427594027 | Mel Trotter Ministries Dental Clinic | Dentist | 225 Commerce Ave Sw, Grand Rapids, MI 49503-4107 | 2017-01-06 |
| 1265980957 | Brittany Ann Rashid | Dentist | 2549 Tall Timber Ct Se, Grand Rapids, MI 49546-6787 | 2016-09-12 |
| 1336591791 | Nicole Totten | Dentist | 3320 Alpine Ave., Grand Rapids, MI 49544 | 2016-07-11 |
| 1083098198 | Alexandra Dodds | Dentist | 2609 Breton Rd Se, Grand Rapids, MI 49546 | 2015-07-17 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49505 |
Please comment or provide details below to improve the information on BECKWITH FAMILY DENTAL CARE PLC.
| 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.