DR. KISHAWN OLASUPO KOLE-JAMES


Address: 1799 E Grand Blvd, Detroit, MI 48211-3145
Phone: 3132825651

DR. KISHAWN OLASUPO KOLE-JAMES (NPI# 1073688818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073688818
Entity Type Individual
Full Name DR. KISHAWN OLASUPO KOLE-JAMES
Credential D.D.S
Practice Address 1799 E Grand Blvd
Detroit
MI 48211-3145
Mailing Address Po Box 2879
Detroit
MI 48202-0879
Practice Telephone 3132825651
Mailing Telephone 3132825651
Enumeration Date 2006-11-21
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
2901019444 MI Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
MI 4935200 05

Office Location

Street Address 1799 E GRAND BLVD
City DETROIT
State MI
Zip Code 48211-3145

Providers in the same location

NPI Name Taxonomy Address Enumeration
1245563626 Mighty Mason Outreach Ministry Church Voluntary or Charitable 1799 E Grand Blvd, Detroit, MI 48211-3145 2009-09-16
1710151287 Professional Care Initiatives, Inc. Clinic/Center 1799 E Grand Blvd, Detroit, MI 48211-3145 2008-04-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528572930 Tabatha Green Licensed Practical Nurse 1221 East Brand Blvd, Detroit, MI 48211 2017-11-21
1760714406 Nathan Terey Counselor 5470 Chene Ave, Detroit, MI 48211 2010-02-05
1174735286 Staci Hirsch Psychologist 5470 Chene Street, Detroit, MI 48211 2007-05-03
1497872352 Une Sur Une Resource Services LLC Social Worker 8718 Oakland St, Detroit, MI 48211-1241 2007-03-24
1558524884 Rebecca Woloszyn Social Worker 8718 Oakland St, Detroit, MI 48211-1241 2008-07-07
1902064405 Venessa Jean Parks Counselor 8718 Oakland St, Detroit, MI 48211-1241 2008-05-30
1972790459 Nelda Kay Lejeune Social Worker 8718 Oakland St, Detroit, MI 48211-1241 2007-09-28
1760718605 Teena Marie Sawicki Social Worker 3501 Hamtramck Dr, Hamtramck, MI 48211-1400 2009-10-28
1659672699 Margaret Elizabeth Hudson-collins Psychiatry & Neurology 3501 Hamtramck Dr, Detroit, MI 48211-1400 2010-11-08
1184932766 John A. Lyle Psychologist 3501 Hamtramck Dr, Hamtramck, MI 48211-1400 2010-09-17
Find all providers in zip 48211

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528678687 Elmwood Park Dental Dentist 1547 E Lafayette St, Detroit, MI 48207-2958 2020-08-04
1205452786 Daniel Galvez Dentist 200 Riverfront Dr Apt 20f, Detroit, MI 48226-7598 2020-06-22
1669947107 Diamond Smiles Dentistry, PC Dentist 13334 E Jefferson Ave, Detroit, MI 48215-2719 2018-10-11
1053802629 Hussein Daher Dentist 6061 W Vernor Hwy Ste 1, Detroit, MI 48209-2085 2018-05-19
1497278287 Kamil Abraham Dentist 24366 Grand River Ave Ste 111, Detroit, MI 48219-3098 2017-07-24
1326561887 Nicholas Dipilla Dentist 1 Woodward Ave Ste 1625, Detroit, MI 48226-3422 2017-07-17
1164963401 Smile Fresh Detroit PC Dentist 7230 Gratiot Avenue, Detroit, MI 48213 2017-03-20
1164967469 Fady Sarkees Dentist 21427 Grand River Ave, Detroit, MI 48219-3896 2016-12-23
1538523477 Charnia Hall Dentist 4272 Saint Antoine St, Detroit, MI 48201-2108 2016-04-06
1093178378 Florence Koloko Dentist 250 E Harbortown Dr Apt 608, Detroit, MI 48207-5010 2016-04-03
Find all providers in DETROIT

Competitor

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City DETROIT
Zip Code 48211

Improve Information

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Dataset Information

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.

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