DR. KORTNI LYNN MATTESON (NPI# 1154760015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154760015 |
| Entity Type | Individual |
| Full Name | DR. KORTNI LYNN MATTESON |
| Credential | DDS |
| Practice Address |
820 84th Street Sw Byron Center MI 49315 |
| Practice Telephone | 6164557310 |
| Practice Fax Number | 6164550332 |
| Mailing Telephone | 6164557310 |
| Mailing Fax Number | 6164550332 |
| Enumeration Date | 2013-06-24 |
| Last Update Date | 2017-12-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 2901021039 | MI | Dental Providers |
| Street Address |
820 84TH STREET SW |
| City | BYRON CENTER |
| State | MI |
| Zip Code | 49315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609003987 | Matthew Ryan Vanderlaan | Dentist | 820 84th Street Sw, Byron Center, MI 49315-9458 | 2009-06-15 |
| 1083129910 | Matthew R Vanderlaan Dds Pllc | Dentist | 820 84th Street Sw, Byron Center, MI 49315-9458 | 2017-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205225687 | Hanger Prosthetics & Orthotics Inc | Durable Medical Equipment & Medical Supplies | 6500 Byron Center Sw Ste 100, Byron Center, MI 49315 | 2015-01-22 |
| 1285038158 | Amanda Foster | Social Worker | 500 South Third Ave, Big Rapids, MI 49315 | 2014-10-21 |
| 1245411016 | Janette Seager | Psychologist | 2147 Center Grange Dr, Byron Center, MI 49315 | 2007-11-20 |
| 1720127822 | Robert Louis Harrison | Chiropractor | 2360 84th Street, Byron Center, MI 49315 | 2007-02-05 |
| 1457377483 | Ann M Knapp | Emergency Medicine | 2373 64th St, Ste 1200, Byron Center, MI 49315 | 2006-07-14 |
| 1215985114 | John Adrian Mulder | Specialist | 8412 Pfeiffer Farms Dr, Byron Center, MI 49315 | 2006-05-04 |
| 1871550525 | Russel F Curtis | Optometrist | 2155 84th St Sw, Byron Center, MI 49315 | 2006-04-27 |
| 1033183371 | Thomas B Foster | Internal Medicine | 2373 64th St Sw, Ste 1300, Grand Rapids, MI 49315 | 2006-02-14 |
| 1154819035 | Kathryn Ellens | Nurse Practitioner | 7751 Byron Center Ave Sw Ste C, Byron Center, MI 49315 | 2018-04-26 |
| 1922502269 | Laura Schipper | Nurse Practitioner | 7751 Byron Center Ave Sw Ste C, Byron Center, MI 49315 | 2018-03-21 |
| Find all providers in zip 49315 | ||||
| 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 |
|---|---|---|---|---|
| 1609003987 | Matthew Ryan Vanderlaan | Dentist | 820 84th Street Sw, Byron Center, MI 49315-9458 | 2009-06-15 |
| 1881737567 | Steven Joe Snyder | Dentist | 2700 84th St Sw, Byron Center, MI 49315-9230 | 2007-02-14 |
| 1083129910 | Matthew R Vanderlaan Dds Pllc | Dentist | 820 84th Street Sw, Byron Center, MI 49315-9458 | 2017-12-14 |
| 1053696096 | Bardha Krasniqi | Dentist | 2700 84th St Sw, Byron Center, MI 49315-9230 | 2011-10-20 |
| 1184859670 | Scott Andrew Snyder | Dentist | 2700 84th St Sw, Byron Center, MI 49315-9230 | 2009-05-27 |
| 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 | ||||
| City | BYRON CENTER |
| Zip Code | 49315 |
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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.