DR. OTTO KEVIN KLANOW (NPI# 1801032198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801032198 |
| Entity Type | Individual |
| Full Name | DR. OTTO KEVIN KLANOW |
| Credential | D.D.S. M.S. |
| Practice Address |
38912 Dequindre Sterling Heights MI 48310 |
| Practice Telephone | 5869794700 |
| Practice Fax Number | 5869799452 |
| Mailing Telephone | 5869794700 |
| Mailing Fax Number | 5869799452 |
| Enumeration Date | 2008-12-17 |
| Last Update Date | 2008-12-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 2901011910 | MI | Dental Providers |
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
2901011910 | MI | Dental Providers |
| Street Address |
38912 DEQUINDRE |
| City | STERLING HEIGHTS |
| State | MI |
| Zip Code | 48310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962648246 | Otto K. Klanow D.d.s. P.C. | Dentist | 38912 Dequindre, Sterling Heights, MI 48310 | 2008-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508476961 | Briana Smiley | Behavior Technician | 34475 Mound Road, Sterling Heights, MI 48310 | 2020-07-31 |
| 1902442262 | Evolve Physical Therapy LLC | Physical Therapist | 35654 Dequindre Rd, Sterling Heights, MI 48310 | 2019-11-21 |
| 1245715291 | Brooksprings Dialysis, LLC | Clinic/Center | 2391 Fifteen Mile Rd, Sterling Heights, MI 48310 | 2018-09-26 |
| 1942784368 | Brittany Lee Anderson | Chiropractor | 34770 Dequindre Rd., Sterling Heights, MI 48310 | 2018-09-21 |
| 1386140572 | Arpan Patel | Nurse Practitioner | 37303 Tericrest Dr, Sterling Heights, MI 48310 | 2018-04-05 |
| 1306340955 | Prestige Specialty Pharmacy LLC | Pharmacy | 3739 15 Mile Rd, Sterling Heights, MI 48310 | 2018-03-20 |
| 1942704663 | Tazul Choudhury | Occupational Therapist | 34643 Ketsin Dr., Therapy Dept., Sterling Heights, MI 48310 | 2018-03-19 |
| 1013410950 | Robert Parent | Physical Therapist | 34643 Ketsin Drive, Sterling Heighs, MI 48310 | 2018-03-16 |
| 1194231563 | Total Orthopedic Performance Physical Therapy, LLC | Physical Therapist | 3522 15 Mile Road, Sterling Heights, MI 48310 | 2017-12-21 |
| 1851807309 | Happy Life 2 Inc | Clinic/Center | 3727 15 Mile Rd, Sterling Heights, MI 48310 | 2017-12-20 |
| Find all providers in zip 48310 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083247803 | Neil L Matthews Dds PC | Dentist | 305 Barclay Cir Ste 1004, Rochester Hills, MI 48307-4572 | 2020-02-20 |
| 1336672831 | Jennifer Moeller | Dentist | 31410 Northwestern Hwy Ste E, Farmington Hills, MI 48334-2563 | 2017-04-11 |
| 1780040998 | Minaal Verma | Dentist | 41980 Manor Park Dr, Apt 122, Novi, MI 48375-2775 | 2016-01-05 |
| 1750638995 | David Lawrence Aitken | Dentist | 2021 Timber Point Dr Se, Ada, MI 49301-8323 | 2012-08-07 |
| 1184987075 | Yasser Alali | Dentist | 430 North Telegraph Road, Dearborn, MI 48128 | 2012-06-17 |
| 1013216639 | Prosthetic and Implants Dentistry PC | Dentist | 1206 S Washington Ave, Royal Oak, MI 48067-3222 | 2011-03-22 |
| 1710130174 | Andrew Koran IIi | Dentist | 7346 Park Lake Dr, Dexter, MI 48130-9616 | 2008-10-29 |
| 1225203714 | William H Roedema | Dentist | 3739 Basswood Dr Sw, Grandville, MI 49418-2003 | 2008-04-25 |
| 1679747455 | Michael P. Girskis | Dentist | 37667 Pembroke Ave, Livonia, MI 48152 | 2008-04-14 |
| 1417121294 | Stephen J. Riedy | Dentist | 31544 Schoolcraft Rd, Livonia, MI 48150-1805 | 2008-04-14 |
| Find all providers with the same taxonomy | ||||
| City | STERLING HEIGHTS |
| Zip Code | 48310 |
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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.