AMY K. DEYOUNG, DDS, MS, PC PEDIATRIC DENTISTRY (NPI# 1568976017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568976017 |
| Entity Type | Organization |
| Organization Name | AMY K. DEYOUNG, DDS, MS, PC PEDIATRIC DENTISTRY |
| Practice Address |
3297 Eagle Run Dr. Ne Grand Rapids MI 49525 |
| Practice Telephone | 6164477900 |
| Practice Fax Number | 6164477902 |
| Mailing Telephone | 6164477900 |
| Mailing Fax Number | 6164477902 |
| Enumeration Date | 2017-11-20 |
| Last Update Date | 2017-11-20 |
| Authorized Official Name | DR. AMY K DEYOUNG (OWNER) |
| Authorized Official Telephone | 6164477900 |
| Authorized Official Credential | DDS, MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
16365 | MI | Dental Providers |
| Street Address |
3297 EAGLE RUN DR. NE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053928507 | Therapy With Nicole Pllc | Community/Behavioral Health | 4867 E. Beltline Ave. Ne, Building #1 Lower Level, Grand Rapids, MI 49525 | 2020-09-29 |
| 1184242760 | Christian Healthcare Specialists, Inc. | Obstetrics & Gynecology | 3322 Beltline Court Ne, Suite 1, Grand Rapids, MI 49525 | 2020-07-09 |
| 1174154645 | Amy Vanderslik | Case Manager/Care Coordinator | 3310 Eaglecrest Park Dr. Ne, Suite 100, Grand Rapids, MI 49525 | 2020-02-03 |
| 1477195246 | Epic Discoveries LLC | Counselor | 4867 E. Beltline Ave Ne, Grand Rapids, MI 49525 | 2019-10-14 |
| 1598228959 | Kim Scherencel Lmsw Counseling | Social Worker | 3280 Beltline Ne, Grand Rapids, MI 49525 | 2019-04-11 |
| 1821558958 | Mindful Trajectories | Social Worker | 3280 Beltlne Ct Ne, Grand Rapids, MI 49525 | 2019-03-24 |
| 1104380518 | Julianne Lettinga, Ma Lpc Counseling | Counselor | 3280 East Beltline Ct Ne, Grand Rapids, MI 49525 | 2019-01-30 |
| 1396227229 | Christopher Scot Doucette | Social Worker | 2064 Airway St Ne, Grand Rapids, MI 49525 | 2018-09-06 |
| 1407389604 | Kelly Jo Crabb | Social Worker | 4829 E Beltline Ave Ne Ste 100, Grand Rapids, MI 49525 | 2017-04-05 |
| 1114467966 | Sara Mitchell | Counselor | 4700 E Beltine Ave, Grand Rapids, MI 49525 | 2017-02-27 |
| Find all providers in zip 49525 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487128120 | Dental Group Associates PC | Dentist | 4505 Cascade Rd Se # B, Grand Rapids, MI 49546-8381 | 2019-01-16 |
| 1184194433 | Pediatric Dental Specialists of West Michigan | Dentist | 2155 E Paris Ave Se Ste 120, Grand Rapids, MI 49546-6142 | 2018-11-29 |
| 1811465990 | Kingma Pediatric Dentistry Pllc | Dentist | 1179 E Paris Ave Se Ste 130, Grand Rapids, MI 49546-3682 | 2018-11-07 |
| 1255792636 | Christopher Powell | Dentist | 1750 Grand Ridge Ct Ne Ste 202, Grand Rapids, MI 49525 | 2016-03-14 |
| 1467714956 | Daniel O'callaghan | Dentist | 1559 68th St Se, Suite A, Grand Rapids, MI 49508-7010 | 2012-06-12 |
| 1497860191 | Aimee Christine Valleau-hier | Dentist | 2000 43rd St Se, Suite B, Grand Rapids, MI 49508-8700 | 2006-08-20 |
| 1386683530 | Amy Kay Deyoung | Dentist | 3297 Eagle Run Dr Ne, Grand Rapids, MI 49525-7050 | 2006-06-05 |
| 1386696672 | Gary Alvin Cook | Dentist | 2017 Eastcastle Se, Suite A, Grand Rapids, MI 49508 | 2006-05-16 |
| 1710540398 | Mitten Kids Dentistry Cascade Plc | Dentist | 1179 E Paris Ave Se Ste 130, Grand Rapids, MI 49546-3682 | 2019-04-18 |
| 1306213814 | Gaines Pediatric Dentistry Pllc | Dentist | 1559 68th St Se, Grand Rapids, MI 49508-7015 | 2015-09-01 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49525 |
Please comment or provide details below to improve the information on AMY K. DEYOUNG, DDS, MS, PC PEDIATRIC DENTISTRY.
| 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.