KAISER DENTAL PC (NPI# 1386829059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386829059 |
| Entity Type | Organization |
| Organization Name | KAISER DENTAL PC |
| Other Organization Name | SUPERTEETH |
| Practice Address |
23105 Van Dyke Ave Warren MI 48089-1622 |
| Practice Telephone | 5867595353 |
| Mailing Telephone | 5867595353 |
| Enumeration Date | 2007-12-31 |
| Last Update Date | 2007-12-31 |
| Authorized Official Name | DR. HANLEY LAWRENCE KAISER (PRESIDENT) |
| Authorized Official Telephone | 5867595353 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2901009847 | MI | Dental Providers |
| Other Name | Type Code |
|---|---|
| Superteeth | Other Name - Individual/Organization |
| Street Address |
23105 VAN DYKE AVE |
| City | WARREN |
| State | MI |
| Zip Code | 48089-1622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841491248 | Hanley L. Kaiser Dds PC | Dentist | 23105 Van Dyke Ave, Warren, MI 48089-1622 | 2007-05-31 |
| 1174135149 | Ballo Dds PC | Clinic/Center | 23105 Van Dyke Ave, Warren, MI 48089-1622 | 2020-08-20 |
| 1770967028 | Calvin C Brown Jr Dds Pllc | Dentist | 23105 Van Dyke Ave, Warren, MI 48089-1622 | 2015-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477184414 | Delaine Armstong | Pharmacist | 13488 E. 11 Mile Road, Warren, MI 48089 | 2020-01-29 |
| 1679118236 | Good N Plenty Rx LLC | Pharmacy | 22260 Van Dyke Avenue, Warren, MI 48089 | 2019-11-07 |
| 1508367111 | Meijer, Inc. | Durable Medical Equipment & Medical Supplies | 25225 Schoenherr Rd, Warren, MI 48089 | 2018-02-28 |
| 1932624970 | Jessica D Johnston | Social Worker | 11415 Metter Ave, Warren, MI 48089 | 2017-08-10 |
| 1508222944 | Dinas Kamaitis | Non-emergency Medical Transport (VAN) | 14560 E 10 Mile, 13993 10 Mile, Warren, MI 48089 | 2016-01-14 |
| 1770837296 | Michigan Home Exteriors | Durable Medical Equipment & Medical Supplies | 11444 Kaltz Ave, Warren, MI 48089 | 2012-11-06 |
| 1407100142 | Brenda Tringali | Social Worker | 12220 E 13 Mile, Warren, MI 48089 | 2012-11-02 |
| 1154606838 | Binary Therapy Alliance,inc | Home Health | 26105 Regency Club Lane, 8, Warren, MI 48089 | 2011-10-13 |
| 1396920443 | Ron Zachariah | Physical Therapist | Horizon Medical Building, 13251 E Ten Mile Road Suite 400, Warren, MI 48089 | 2008-01-08 |
| 1053500173 | Anemaecore Abadejos Brodith | Physical Therapist | 26000 Hoover Rd Ste 101, Warren, MI 48089 | 2007-10-15 |
| Find all providers in zip 48089 | ||||
| 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 |
|---|---|---|---|---|
| 1578177713 | Warren Family Dentistry | Dentist | 11250 E 13 Mile Rd Ste 3, Warren, MI 48093-2597 | 2020-09-04 |
| 1144847294 | Rezan Doku | Dentist | 11552 E 12 Mile Rd Ste 105, Warren, MI 48093-2644 | 2020-07-06 |
| 1710449459 | Benjamin J Underwood Dds LLC | Dentist | 6213 Chicago Rd Ste 100, Warren, MI 48092-1697 | 2019-04-02 |
| 1902341233 | George C. Ploumbis, Dds, Inc. | Dentist | 2239 E Market St, Warren, OH 44483-6105 | 2016-12-22 |
| 1023491586 | A1 Family Dentistry,plc | Dentist | 30205 Schoenherr Rd Ste E, Warren, MI 48088-6800 | 2015-07-02 |
| 1013250026 | Warren Dental Group, David M Raiffe, Dds, Mba, Inc | Dentist | 1019 N Park Ave, Warren, OH 44483-3725 | 2013-03-28 |
| 1508124363 | Marek Jaroslaw Ogledzki | Dentist | 11900 E 12 Mile Rd Ste 210, Warren, MI 48093-3490 | 2012-04-30 |
| 1558636936 | Soft Care Dental Group | Dentist | 108 Town Center Dr, Warren, NJ 07059-5692 | 2012-03-18 |
| 1487884375 | Thomas Joseph Wilson | Dentist | 8401 Howland Springs Rd Se, Warren, OH 44484-3120 | 2009-07-26 |
| 1801054085 | Oleg Doubrovski | Dentist | 4265 E 10 Mile Rd, Warren, MI 48091-1578 | 2008-05-24 |
| Find all providers in WARREN | ||||
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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.