DR. PHILIP C WISNIEWSKI (NPI# 1386788610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386788610 |
| Entity Type | Individual |
| Full Name | DR. PHILIP C WISNIEWSKI |
| Credential | DDS, FAGD, PC |
| Practice Address |
291 W Lakewood Blvd Holland MI 49424-1969 |
| Practice Telephone | 6163969583 |
| Practice Fax Number | 6163968347 |
| Mailing Telephone | 6163969583 |
| Mailing Fax Number | 6163968347 |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
16021 | MI | Dental Providers |
| Street Address |
291 W LAKEWOOD BLVD |
| City | HOLLAND |
| State | MI |
| Zip Code | 49424-1969 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700925690 | Suzanne K Port | Dentist | 291 W Lakewood Blvd, Holland, MI 49424 | 2007-02-06 |
| 1669080651 | Port Pediatric Dentistry PC | Dentist | 291 W Lakewood Blvd, Holland, MI 49424-1969 | 2020-07-16 |
| 1528189867 | Thomas Chase Phares | Dentist | 291 W Lakewood Blvd, Holland, MI 49424-1969 | 2007-04-03 |
| 1245351592 | Phares Family Dentistry | Dentist | 291 W Lakewood Blvd, Holland, MI 49424-1969 | 2007-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194290999 | Anderson Family and Cosmetic Dentistry | Dentist | 453 136th Ave., Holland, MI 49424 | 2018-10-08 |
| 1487139663 | Maria C. Hoekstra Dds, P.C. | Dentist | 1121 Ottawa Beach Road, Suite 100, Holland, MI 49424 | 2018-10-03 |
| 1871024000 | Derek Schaaf | Rehabilitation Practitioner | 13835 Foxtrail Dr., Holland, MI 49424 | 2017-03-21 |
| 1699227397 | Tabitha Margritz | Optometrist | 2279 N Park Drive #910, Holland, MI 49424 | 2016-10-28 |
| 1619373701 | Miller Chiropractic LLC | Chiropractor | 84 East Lakewood Boulevard, Holland, MI 49424 | 2014-11-17 |
| 1891107611 | Nathan B. Poel | Dentist | 1180 Ottawa Beach Rd, Suite E, Holland, MI 49424 | 2014-05-28 |
| 1477990802 | Jeanine Hamilton | Speech-Language Pathologist | 1576 Eb Creek Dr., Holland, MI 49424 | 2013-05-24 |
| 1194062638 | Stefan John Kuipers | Physician Assistant | 3100 Wellness Dr, Holland, MI 49424 | 2013-01-03 |
| 1902155690 | Benjamin Eovaldi | General Practice | 376 Mayfair St., Holland, MI 49424 | 2012-09-10 |
| 1295017929 | Employee Assistance Center Garden | Psychologist | 372 Garden, Holland, MI 49424 | 2011-09-20 |
| Find all providers in zip 49424 | ||||
| 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 |
|---|---|---|---|---|
| 1891315941 | Austin John Getz | Dentist | 14113 Phoenix Pl, Holland, MI 49424-7461 | 2020-04-19 |
| 1669001889 | Neville Dental Care, LLC | Dentist | 295 Buck Rd Ste 305, Holland, PA 18966-1750 | 2020-04-08 |
| 1851940068 | Smile South Holland | Dentist | 205 W 29th St Ste 100, Holland, MI 49423-6973 | 2019-09-10 |
| 1194290999 | Anderson Family and Cosmetic Dentistry | Dentist | 453 136th Ave., Holland, MI 49424 | 2018-10-08 |
| 1487139663 | Maria C. Hoekstra Dds, P.C. | Dentist | 1121 Ottawa Beach Road, Suite 100, Holland, MI 49424 | 2018-10-03 |
| 1609254069 | Anthony Charles Rademacher | Dentist | 1459 Post Ave, Holland, MI 49424-2543 | 2015-05-18 |
| 1992191415 | Caitlynn Rose Haas | Dentist | 601 Michigan Ave Ste 106, Holland, MI 49423-4951 | 2015-04-10 |
| 1891107611 | Nathan B. Poel | Dentist | 1180 Ottawa Beach Rd, Suite E, Holland, MI 49424 | 2014-05-28 |
| 1790061109 | Calderon Dental Inc | Dentist | 6658 Airport Hwy, Holland, OH 43528-8135 | 2011-10-30 |
| 1851685226 | Benjamin H. Wickstra Dds, Pllc | Dentist | 567 Central Ave, Holland, MI 49423-4848 | 2011-06-02 |
| Find all providers in HOLLAND | ||||
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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.