JAYSON LYNN CLORE (NPI# 1386138881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386138881 |
Entity Type | Individual |
Full Name | JAYSON LYNN CLORE |
Credential | D.M.D. |
Practice Address |
334 68th St Sw Grand Rapids MI 49548-7179 |
Practice Telephone | 6162811331 |
Practice Fax Number | 6162814276 |
Mailing Telephone | 6162811331 |
Mailing Fax Number | 6162814276 |
Enumeration Date | 2018-06-18 |
Last Update Date | 2018-06-18 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
2901022692 | MI | Dental Providers |
Street Address |
334 68TH ST SW |
City | GRAND RAPIDS |
State | MI |
Zip Code | 49548-7179 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598381972 | Clore Family Dentistry | Clinic/Center | 334 68th St Sw, Grand Rapids, MI 49548-7179 | 2020-06-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205319811 | Pooja Patel | Social Worker | Spectrum Community Services, 3353 Lousma Dr. Se, Wyoming, MI 49548 | 2018-09-10 |
1063906865 | Kimberly Eccher | Physician Assistant | 300 68th St. Se, Grand Rapids, MI 49548 | 2018-06-15 |
1871099481 | Baymark of Michigan, Inc. | Clinic/Center | 5500 Division Avenue Se, Kentwood, MI 49548 | 2018-04-03 |
1629507801 | Laura Marie Quennoz | Psychiatry & Neurology | Pine Rest Christian Mental Health Services, 300 68th Street Se, Grand Rapids, MI 49548 | 2017-06-09 |
1821548504 | Alison Anderson | Technician, Other | 103 Roth St Se, Grand Rapids, MI 49548 | 2016-10-06 |
1831540152 | Jesse Aubil | Counselor | 264 Montebello St. Se 49548, Grand Rapids, MI 49548 | 2016-06-28 |
1306237920 | Sarah Benton | Social Worker | 225 Colrain St Sw, 2, Grand Rapids, MI 49548 | 2015-02-18 |
1578996856 | Karen Marie Irving | Social Worker | 3353 Lousma Dr. Se, Wyoming, MI 49548 | 2013-08-09 |
1740348044 | Robert Kenneth Richmond | Preventive Medicine | 551 36th Street. Se, Wyoming, MI 49548 | 2006-12-05 |
1386738953 | Sharita Montiez Hall | Social Worker | 300 68th Street Se, Grand Rapids, MI 49548 | 2006-10-03 |
Find all providers in zip 49548 |
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 |
---|---|---|---|---|
1265059570 | Samuel T. Bander, Dds, Plc | Dentist | 1151 E Paris Ave Se Ste 100, Grand Rapids, MI 49546-8369 | 2020-07-02 |
1295360428 | Dj Edgerle, Dds, PC | Dentist | 751 Kenmoor Ave Se Ste G, Grand Rapids, MI 49546-2391 | 2020-03-09 |
1639638265 | Mark E Peterson, Dds | Dentist | 2440 Gaynor Ave Nw, Grand Rapids, MI 49544-1830 | 2019-03-13 |
1811463730 | Ryan C. Van Haren, Dds Pllc | Dentist | 2144 E Paris Ave Se Ste 110, Grand Rapids, MI 49546-6111 | 2018-10-18 |
1154788230 | Kb Family Dentistry Plc | Dentist | 3167 Kalamazoo Ave Se # 1, Grand Rapids, MI 49508-1475 | 2016-01-21 |
1821471616 | Healthy Smile Plc | Dentist | 2021 44th St Sw, Grand Rapids, MI 49508 | 2015-06-30 |
1841694387 | Jerry B. Mulder Dds Plc | Dentist | 515 Michigan St Ne Ste 202, Grand Rapids, MI 49503-5721 | 2014-10-13 |
1609277854 | Alexis Neuman | Dentist | 3930 Burton St Se, Grand Rapids, MI 49546-5819 | 2014-09-08 |
1124439476 | Bryton Mansfield | Dentist | 1636 Leonard St Nw, Grand Rapids, MI 49504-3950 | 2014-05-08 |
1659709145 | W Erick Rupprecht Dds Pllc | Dentist | 2554 Woodmeadow Dr Se Ste A, Grand Rapids, MI 49546-8033 | 2013-10-22 |
Find all providers in GRAND RAPIDS |
City | GRAND RAPIDS |
Zip Code | 49548 |
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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.