DR. MARK FARAGE (NPI# 1376509117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376509117 |
| Entity Type | Individual |
| Full Name | DR. MARK FARAGE |
| Credential | D.D.S. |
| Practice Address |
6650 Crossing Dr.se Kentwood MI 49508 |
| Practice Telephone | 6165540296 |
| Practice Fax Number | 6165549981 |
| Mailing Telephone | 6165540296 |
| Mailing Fax Number | 6165549981 |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
13447 | MI | Dental Providers |
| Street Address |
6650 CROSSING DR.SE |
| City | KENTWOOD |
| State | MI |
| Zip Code | 49508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962467662 | Pinerock,p.c. | Dentist | 6650 Crossing Dr.se, Kentwood, MI 49508 | 2006-04-18 |
| 1538193107 | Robert G Bowman | Dentist | 6650 Crossing Dr.se, Kentwood, MI 49508 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063012367 | Jenna Brianne Labrecque | Social Worker | 2013 East Castle Dr, Suite B, Kentwood, MI 49508 | 2020-10-27 |
| 1881208809 | Morgan Paige Ballmann | Physical Therapy Assistant | 4150 Kalamazoo Ave. Se, Grand Rapids, MI 49508 | 2020-09-08 |
| 1699385740 | Jodie Lynn Robertson | Prosthetist | 3720 Eastern Se, Grand Rapids, MI 49508 | 2020-08-04 |
| 1003460874 | Derm Institute of West Michigan Plc | Dermatology | 6750 Kalamazoo Ave, Suites C & D, Grand Rapids, MI 49508 | 2019-07-30 |
| 1255801833 | Ikeia Tynika Hill | Licensed Practical Nurse | 1627 Lotus, Grand Rapids, MI 49508 | 2018-11-27 |
| 1326556838 | Araceli Contreras-hernandez | Behavior Technician | 3566 Eastern Ave. Se, Kentwood, MI 49508 | 2018-01-18 |
| 1881102788 | A Grand Rapids Senior Social Exchange and Adult Day Center | In Home Supportive Care | 3212 Eastern Ave Se, Grand Rapids, MI 49508 | 2018-01-14 |
| 1952827107 | Nupoint Services LLC | Clinic/Center | 1620 44th Street Se, Grand Rapids, MI 49508 | 2017-08-19 |
| 1710427695 | Embracing Life Afc | Custodial Care Facility | 1405 Forrester St S.e., Grand Rapids, MI 49508 | 2017-02-27 |
| 1083162838 | Katherine Berenice Campoverde Arevalo | Technician, Other | 1157 Billigs Ct Se, Ap# 1a, Grand Rapids, MI 49508 | 2016-09-21 |
| Find all providers in zip 49508 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922489194 | Derek Devries | Dentist | 6650 Crossings Dr Se, Kentwood, MI 49508-7852 | 2015-06-14 |
| 1114332350 | Mina Gendy | Dentist | 2721 Swan Cv Se Apt 301, Kentwood, MI 49512-9048 | 2014-06-26 |
| 1801175054 | Andrea Salazar Toth | Dentist | 937 52nd St Se, Kentwood, MI 49508-6003 | 2011-08-05 |
| 1578723920 | Kevin Scott Hahn | Dentist | 954 52nd St Se, Kentwood, MI 49508-6004 | 2008-06-10 |
| 1942471826 | Drs May and Mallory Dds PC | Dentist | 4144 Breton Rd Se, Kentwood, MI 49512-3856 | 2008-03-18 |
| 1467670349 | Daryl Marshall Westmoreland Sr. | Dentist | 68144 Highway 51, 68144 Highway 51, Kentwood, LA 70444-0432 | 2007-04-23 |
| 1730203696 | David M Phillips | Dentist | 2110 Enterprise St Se Ste 201, Kentwood, MI 49508-5050 | 2007-03-18 |
| 1053442715 | Terry Scott Turner | Dentist | 307 Avenue H, Kentwood, LA 70444-2729 | 2007-03-07 |
| 1104969286 | Troy Michael Verges | Dentist | 207 Ave. G, Kentwood, LA 70444-2522 | 2007-02-15 |
| 1013061324 | Scott Thomas Singstock | Dentist | 2450 44th St Se Ste 203, Kentwood, MI 49512-9081 | 2007-01-23 |
| Find all providers in KENTWOOD | ||||
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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.