DR. THOMAS KALLAL (NPI# 1750576690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750576690 |
| Entity Type | Individual |
| Full Name | DR. THOMAS KALLAL |
| Credential | D.D.S. |
| Practice Address |
13924 Wadaga Rd Baraga MI 49908-9204 |
| Mailing Address |
N5027 Joe Corn Dr Iron Mountain MI 49801-9543 |
| Practice Telephone | 9063537070 |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2007-09-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 2901012015 | MI | Dental Providers |
| Street Address |
13924 WADAGA RD |
| City | BARAGA |
| State | MI |
| Zip Code | 49908-9204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568429496 | Patricia A Lewis | Nurse Practitioner | 13924 Wadaga Rd, Baraga, MI 49908 | 2006-04-26 |
| 1073920633 | Derek Falk | Nurse Practitioner | 13924 Wadaga Rd, Baraga, MI 49908-9204 | 2014-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457836199 | Whitney Newsom | Nurse Practitioner | 103 Superior Avenue, Baraga, MI 49908 | 2018-09-28 |
| 1053499483 | Chung Oh | Family Medicine | 102 Superior Ave, Baraga, MI 49908 | 2006-11-02 |
| 1760560197 | Marianne J Brady | Psychologist | 102 Superior Ave, Baraga, MI 49908 | 2006-11-02 |
| 1528146081 | Joseph P Zobro | Family Medicine | 102 Superior Ave, Baraga, MI 49908 | 2006-11-01 |
| 1659457893 | Kathleen Ann Witkowski | Social Worker | 102 Superior Ave, Baraga, MI 49908 | 2006-10-31 |
| 1528155843 | Richard Brent Johnson | Dentist | 102 Superior Ave, Baraga, MI 49908 | 2006-10-06 |
| 1720174154 | Suzan Jeanne Ollila | Registered Nurse | 102 Superior Ave, Baraga, MI 49908 | 2006-10-05 |
| 1962052779 | Ann Marie Lanala | Social Worker | 13306 Selkey Rd, Baraga, MI 49908-8700 | 2019-09-13 |
| 1972657716 | Jennifer Joi Hirzel | Chiropractor | 13528 Old 41 Rd, Keweenaw Bay, MI 49908-9022 | 2007-01-22 |
| 1275518417 | Toby Leroy Klassen | Chiropractor | 13418 Us Highway 41, Baraga, MI 49908-9063 | 2005-12-09 |
| Find all providers in zip 49908 | ||||
| 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 |
|---|---|---|---|---|
| 1932700986 | Lake Orion Family Dentistry | Dentist | 1320 S Lapeer Rd, Lake Orion, MI 48360-1435 | 2020-11-05 |
| 1093315202 | Peninsula Family Dentistry, PC | Dentist | 3210 Us 41 W, Marquette, MI 49855-9483 | 2020-10-27 |
| 1437758398 | Pristine Dental Care | Dentist | 3021 E Walton Blvd, Auburn Hills, MI 48326-2368 | 2020-10-21 |
| 1003414749 | Rami Ghandour | Dentist | G3023 Miller Rd, Flint, MI 48507-1353 | 2020-10-14 |
| 1013514538 | Ranim Suliman | Dentist | 9824 Conant St, Hamtramck, MI 48212 | 2020-10-07 |
| 1457968133 | Norman Family Dentistry PC | Dentist | 519 Ada Dr Se Ste A, Ada, MI 49301-9069 | 2020-09-28 |
| 1992312680 | Waely Dental Pllc | Dentist | 1769 Inkster Rd, Garden City, MI 48135-3028 | 2020-09-26 |
| 1164037362 | David Posada | Dentist | 1326 Marion Ave, Lincoln Park, MI 48146-2090 | 2020-09-14 |
| 1144835059 | Chelsea Anthony | Dentist | 23207 Norcrest Dr, Saint Clair Shores, MI 48080-2586 | 2020-09-09 |
| 1275147399 | Yuvraj Pannu | Dentist | 2501 W Pierson Rd Unit B, Flint, MI 48504-6802 | 2020-09-04 |
| Find all providers with the same taxonomy | ||||
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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.