PRIYA BANAHATTI (NPI# 1801825484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801825484 |
| Entity Type | Individual |
| Full Name | PRIYA BANAHATTI |
| Credential | DMD |
| Practice Address |
285 James Street Holland MI 49424 |
| Mailing Address |
50 Industrial Park Drive Bangor MI 49013 |
| Practice Telephone | 6167388978 |
| Practice Fax Number | 6167389127 |
| Mailing Telephone | 2694277937 |
| Mailing Fax Number | 2694275180 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2011-07-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 2901018573 | MI | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4554740 | 05 |
| Street Address |
285 JAMES STREET |
| City | HOLLAND |
| State | MI |
| Zip Code | 49424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023045929 | Christine Anne Sandera | Dental Hygienist | 285 James Street, Holland, MI 49424 | 2006-06-27 |
| 1346739885 | Justynn P Mayo | Counselor | 285 James Street, Holland, MI 49424 | 2018-05-09 |
| 1265887798 | Mary Patricia Balke | Dental Hygienist | 285 James Street, Intercare Community Health Network, Holland, MI 49424 | 2016-05-03 |
| 1265894224 | Madeline Rose Jaesche | Dental Hygienist | 285 James Street, Intercare Community Health Network, Holland, MI 49424 | 2016-03-28 |
| 1609284140 | Martha J Owocki | Dental Hygienist | 285 James Street, Holland, MI 49022-1849 | 2014-07-29 |
| 1225250475 | Leonard S Goldfarb | Dentist | 285 James Street, Holland, MI 49424-1849 | 2007-05-03 |
| 1033238852 | Julia Ludwig | Midwife | 285 James Street, Holland, MI 49424 | 2007-03-29 |
| 1972636165 | Intercare Community Health Network | Clinic/Center | 285 James Street, Holland, MI 49424 | 2007-03-14 |
| 1124119268 | Christa M Murphy | Family Medicine | 285 James Street, Holland, MI 49424 | 2006-09-27 |
| 1811001852 | William A Riggert | Dentist | 285 James Street, Holland, MI 49424 | 2006-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194290999 | Anderson Family and Cosmetic Dentistry | Dentist | 453 136th Ave., Holland, MI 49424 | 2018-10-08 |
| 1487139663 | Maria C. Hoekstra Dds, P.C. | Dentist | 1121 Ottawa Beach Road, Suite 100, Holland, MI 49424 | 2018-10-03 |
| 1871024000 | Derek Schaaf | Rehabilitation Practitioner | 13835 Foxtrail Dr., Holland, MI 49424 | 2017-03-21 |
| 1699227397 | Tabitha Margritz | Optometrist | 2279 N Park Drive #910, Holland, MI 49424 | 2016-10-28 |
| 1619373701 | Miller Chiropractic LLC | Chiropractor | 84 East Lakewood Boulevard, Holland, MI 49424 | 2014-11-17 |
| 1891107611 | Nathan B. Poel | Dentist | 1180 Ottawa Beach Rd, Suite E, Holland, MI 49424 | 2014-05-28 |
| 1477990802 | Jeanine Hamilton | Speech-Language Pathologist | 1576 Eb Creek Dr., Holland, MI 49424 | 2013-05-24 |
| 1194062638 | Stefan John Kuipers | Physician Assistant | 3100 Wellness Dr, Holland, MI 49424 | 2013-01-03 |
| 1902155690 | Benjamin Eovaldi | General Practice | 376 Mayfair St., Holland, MI 49424 | 2012-09-10 |
| 1295017929 | Employee Assistance Center Garden | Psychologist | 372 Garden, Holland, MI 49424 | 2011-09-20 |
| Find all providers in zip 49424 | ||||
| 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 |
|---|---|---|---|---|
| 1538788930 | Andrew Joseph Brown | Dentist | 1239 Oakhampton Rd, Holland, MI 49424-2661 | 2020-04-15 |
| 1417483223 | Morgan Catherine Hess | Dentist | 845 E 16th St, Holland, MI 49423-9130 | 2017-05-11 |
| 1881056398 | D2 Dental of Michigan, P.C. | Dentist | 2279 N Park Dr, Suite 810, Holland, MI 49424-8547 | 2016-03-23 |
| 1760897581 | Irina Frolov | Dentist | 496 Revere Dr, Holland, PA 18966-5106 | 2014-07-01 |
| 1245651413 | Eric Robert Smevog | Dentist | 12022 Beacon Hill Dr, Holland, PA 18966-5319 | 2013-12-13 |
| 1770926230 | Suk Jun Yun | Dentist | 3351 W Shore Dr, Holland, MI 49424-7790 | 2013-04-15 |
| 1528344363 | Benjamin H Wickstra Dds Pllc | Dentist | 99 W 26th St, Holland, MI 49423-4970 | 2011-10-25 |
| 1447546411 | Steven Michael Prince | Dentist | 12723 N Bellwood Dr Ste 30, Holland, MI 49424-7275 | 2011-06-28 |
| 1629363593 | Sarah E Langhorst | Dentist | 3235 N Wellness Dr Ste A240, Holland, MI 49424-7264 | 2011-06-18 |
| 1811140973 | Douglas A Bleyenburg | Dentist | 170 College Ave Ste 220, Holland, MI 49423-2982 | 2008-11-02 |
| Find all providers in HOLLAND | ||||
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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.