DOWAGIAC FAMILY DENTISTRY, PC (NPI# 1811414931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811414931 |
| Entity Type | Organization |
| Organization Name | DOWAGIAC FAMILY DENTISTRY, PC |
| Other Organization Name | DOWAGIAC FAMILY DENTISTRY |
| Practice Address |
530 Riverside Dr Dowagiac MI 49047-2101 |
| Practice Telephone | (269) 782-5161 |
| Practice Fax Number | 2697821126 |
| Mailing Telephone | 2697825161 |
| Mailing Fax Number | 2697821126 |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2020-07-01 |
| Authorized Official Name | DR. JONATHAN W GILLESBY (PRESIDENT) |
| Authorized Official Telephone | 2697825161 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
2901017899 | MI | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Dowagiac Family Dentistry | Doing Business As Name - Organization |
| Street Address |
530 RIVERSIDE DR |
| City | DOWAGIAC |
| State | MI |
| Zip Code | 49047-2101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124558291 | Alexander Burau | Dentist | 530 Riverside Dr, Dowagiac, MI 49047-2101 | 2017-06-12 |
| 1962061259 | Erin Virgil | Dentist | 530 Riverside Dr, Dowagiac, MI 49047-2101 | 2019-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497149124 | Karianne Ely | Specialist/Technologist | 92407 Center Dr, Dowagaic, MI 49047 | 2015-03-19 |
| 1669786257 | Pokagon Band of Potawatomi Indians | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 32652 Kno Dr, Dowagiac, MI 49047 | 2010-08-06 |
| 1851619332 | Paddington Healthcare of Michigan LLC | Skilled Nursing Facility | 55432 Colby Street, Dowagiac, MI 49047 | 2010-05-10 |
| 1649502592 | Dowagiac Surgery PC | Surgery | 106 South Lowe St, Dowagiac, MI 49047 | 2010-02-03 |
| 1134336605 | Stephanie Lynn Munson | Specialist/Technologist | 29650 M62 W, Dowagiac, MI 49047 | 2007-05-16 |
| 1689705444 | Michael R Dewitt | Pharmacist | 56151 M51 South, Dowagiac, MI 49047 | 2007-03-07 |
| 1225185705 | Pokagon Band of Potawatomi Indians | Dietitian, Registered | 32652 Kno, Dowagiac, MI 49047 | 2007-01-05 |
| 1588726517 | Lee Memorial Hospital Corporation | Clinic/Center | 67892 M-152, Dowagiac, MI 49047 | 2006-12-15 |
| 1326156332 | Megan Lynne Foote | Pharmacist | 56151 M-51, Dowagiac, MI 49047 | 2006-08-29 |
| 1467567057 | Jonathan Wade Gillesby | Dentist | 530 Riverside Drive, Dowagiac, MI 49047 | 2006-08-21 |
| Find all providers in zip 49047 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821216 | Inspired Family Dental Care | Clinic/Center | 1685 Fairholme Rd, Grosse Pointe Woods, MI 48236-2368 | 2020-11-05 |
| 1376144261 | Right Choice Dental, PC | Clinic/Center | 475 Columbia Ave E Ste 5, Battle Creek, MI 49014-5461 | 2020-11-05 |
| 1669073813 | Thomas M Smith, Dds, Plc | Clinic/Center | 755 Seminole Rd Ste 103, Norton Shores, MI 49441-6561 | 2020-11-04 |
| 1235739533 | Randy J Breen Dds Pllc | Clinic/Center | 2460 Burton St Se Ste 201, Grand Rapids, MI 49546-4800 | 2020-10-27 |
| 1831798370 | Saline Dental Care, Pllc | Clinic/Center | 150 Judd Rd, Milan, MI 48160-9584 | 2020-10-24 |
| 1235738113 | David Sorial Dds PC | Clinic/Center | 14755 Northline Rd, Southgate, MI 48195-2407 | 2020-10-21 |
| 1598363970 | Steven M Moss Dds PC | Clinic/Center | 37625 Ann Arbor Rd Ste 108, Livonia, MI 48150-2400 | 2020-10-16 |
| 1700484375 | Troy Cosmetic and Implant Dental Center Pllc | Clinic/Center | 4770 Rochester Rd Ste 106, Troy, MI 48085-4951 | 2020-10-15 |
| 1194323303 | Aq Dental Group Pllc | Clinic/Center | 10413 Ford Road, Units M & N, Dearborn, MI 48126 | 2020-10-12 |
| 1245837806 | Kendall J Lee Dds Pllc | Clinic/Center | 111 S Howell St, Hillsdale, MI 49242-1873 | 2020-10-07 |
| 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.