DR. BENEDICT VANDERKOLK (NPI# 1720257421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720257421 |
| Entity Type | Individual |
| Full Name | DR. BENEDICT VANDERKOLK |
| Credential | D.D.S. |
| Practice Address |
1000 S Old Woodward Ave Suite 106 Birmingham MI 48009-6723 |
| Practice Telephone | 2486451060 |
| Practice Fax Number | 2488330126 |
| Mailing Telephone | 2486451060 |
| Mailing Fax Number | 2488330126 |
| Enumeration Date | 2008-02-27 |
| Last Update Date | 2008-02-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 2901010265 | MI | Dental Providers |
| Street Address |
1000 S OLD WOODWARD AVE SUITE 106 |
| City | BIRMINGHAM |
| State | MI |
| Zip Code | 48009-6723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992911580 | Tracey Lynn Stulberg | Marriage & Family Therapist | 1000 S Old Woodward Ave, 108, Birmingham, MI 48009-6723 | 2007-05-14 |
| 1639582919 | Clarity Advanced Eyecare, Pllc | Optometrist | 1000 S Old Woodward Ave, Birmingham, MI 48009-6723 | 2014-06-04 |
| 1548447709 | Specialists In Psychiatric Pharmacology Pllc | Psychiatry & Neurology | 1000 S Old Woodward Ave, Suite 101, Birmingham, MI 48009-6723 | 2008-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487183836 | Carolyn Joanna Archer | Dietitian, Registered | 1155 Derby Rd, Apt 3, Birmingham, MI 48009 | 2017-06-08 |
| 1912374695 | Valerie Kim Kaplansky | Counselor | 300 E. Maple Road, 315, Birmingham, MI 48009 | 2015-08-28 |
| 1578956348 | Nancy Jane Naski | Recreation Therapist | 623 Hanna St, Birmingham, MI 48009 | 2015-03-18 |
| 1619370236 | Caitlin Stoltman | Recreation Therapist | 1669 W. Maple Rd., Far, Birmingham, MI 48009 | 2014-09-28 |
| 1295140770 | Lauren Elizabeth Perlin | Obstetrics & Gynecology | 35046 Woodward Ave Ste 100, Birmingham, MI 48009 | 2014-06-24 |
| 1235560764 | Better Life Learning | Community/Behavioral Health | 33717 Woodward Ave #253, Birmingham, MI 48009 | 2013-12-10 |
| 1689949034 | Drs Housecalls PC | Internal Medicine | 298 S. Old Woodward, Birminham, MI 48009 | 2012-03-19 |
| 1689942021 | Brian Connolly Md PC | Psychiatry & Neurology | 189 Townsend, Suite 300, Birmingham, MI 48009 | 2011-12-13 |
| 1619204187 | Dr. Lori PC | Dermatology | 353 South Old Woodward Ave, Birmingham, MI 48009 | 2009-11-04 |
| 1033348453 | Jason Eric Gregory | Music Therapist | 1669 West Maple, Birmingham, MI 48009 | 2009-07-07 |
| Find all providers in zip 48009 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841845161 | Jeremiah Daniel Patrick | Dentist | 1919 7th Ave S Rm 538, Birmingham, AL 35233-2005 | 2019-08-04 |
| 1811452253 | Alabama Dental Associates | Dentist | 3920 Grants Mill Road, Birmingham, AL 35210-1204 | 2019-02-08 |
| 1922584663 | Pritpal Johal | Dentist | 1919 7th Ave S # Sbd537, Birmingham, AL 35233-2005 | 2018-07-16 |
| 1992200448 | Ford's Family Dentistry | Dentist | 6 61st Street North, Birmingham, AL 35212 | 2018-03-27 |
| 1154835775 | Robert B. Connor Dmd, PC | Dentist | 1771 Independence Ct., Suite 1, Birmingham, AL 35216 | 2017-11-17 |
| 1215450952 | Benjamin Samuelson | Dentist | 3319 Cliff Rd S Apt A, Birmingham, AL 35205-1502 | 2017-07-25 |
| 1780107052 | Negar Massah | Dentist | 2850 Venice Rd, Apt 1135, Birmingham, AL 35211 | 2017-07-19 |
| 1558710350 | Alabama Health | Dentist | 2100 1st Ave N Ste 300, Birmingham, AL 35203-4226 | 2016-06-13 |
| 1912365107 | James H. Gillespie, Jr., Dmd | Dentist | 2660 10th Ave S Ste 632, Birmingham, AL 35205-1627 | 2016-02-03 |
| 1437516655 | Kevin J Alexander Dmd PC | Dentist | 48 Church Street, Birmingham, AL 35213-3702 | 2016-01-19 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 48009 |
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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.