NORTHERN MICHIGAN FAMILY DENTISTRY PLLC (NPI# 1215100987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215100987 |
| Entity Type | Organization |
| Organization Name | NORTHERN MICHIGAN FAMILY DENTISTRY PLLC |
| Other Organization Name | GAYLORD FAMILY DENTISTRY |
| Practice Address |
1507 S Otsego Ave Ste A Gaylord MI 49735-9524 |
| Mailing Address |
Po Box 1725 Gaylord MI 49734-5725 |
| Practice Telephone | 9897324199 |
| Practice Fax Number | 9897316762 |
| Mailing Telephone | 9897324199 |
| Mailing Fax Number | 9897316762 |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2018-03-19 |
| Authorized Official Name | NICOLE KOENIG (OFFICE MANAGER) |
| Authorized Official Telephone | 9897324199 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
16080 | MI | Dental Providers |
| Other Name | Type Code |
|---|---|
| Gaylord Family Dentistry | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437428364 | Northern Michigan Family Dentistry Pllc | Dentist | 10711 N Straits Hwy, Cheboygan, MI 49721-9077 | 2011-12-21 |
| Street Address |
1507 S OTSEGO AVE STE A |
| City | GAYLORD |
| State | MI |
| Zip Code | 49735-9524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447453 | Jenni Kirt | Social Worker | 407 I-75 Bus N, Gaylord, MI 49735 | 2020-11-05 |
| 1922584986 | Patricia Dovalina | Behavior Technician | 2285 Michaywe Dr, Otsego Lake, MI 49735 | 2018-07-12 |
| 1265944581 | James Hulbert | Social Worker | 407 W Main Street, Gaylord, MI 49735 | 2017-10-26 |
| 1548792625 | Somer Lawes | Behavior Technician | 2443 Castlewood Dr, Gaylord, MI 49735 | 2017-03-29 |
| 1922554161 | Mark David Mcpherson | Counselor | 2136 West M-32, Gaylord, MI 49735 | 2016-08-28 |
| 1689063034 | Liza Brandt | Behavioral Analyst | 6748 Colonial Ct, Gaylord, MI 49735 | 2015-01-22 |
| 1942597224 | Visions for Your Community Care Hhc | Home Health | 2365 N Perch Lake Dr, Gaylord, MI 49735 | 2011-07-07 |
| 1073778304 | Julie Lynn Vandusen | Community Health Worker | 5512 Clubhouse Trail, Gaylord, MI 49735 | 2008-07-25 |
| 1073708798 | Alpine Chiropractic, PC | Chiropractor | 529 S. Wisconsin Ave, Gaylord, MI 49735 | 2007-09-06 |
| 1669675567 | Oral and Maxillofacial Surgery Associates | Dentist | 785 E M32, Gaylord, MI 49735 | 2007-06-07 |
| Find all providers in zip 49735 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013353689 | Kala Foster | Dentist | 1120 Gornick Ave, Gaylord, MI 49735-1740 | 2013-05-22 |
| 1659490878 | Alpine Dental Group, Inc. | Dentist | 3096 W M32 Hwy, Gaylord, MI 49735-9753 | 2007-03-28 |
| 1922135417 | Timothy Martin Harbin | Dentist | 785 E M 32, Gaylord, MI 49735-8790 | 2007-02-28 |
| 1508991720 | Laurie Ann Sherman | Dentist | 3096 W. M-32 Hwy, Gaylord, MI 49735 | 2007-02-21 |
| 1528193745 | Ralph Andrew Kooistra Jr. | Dentist | 3096 West M-32 Hwy, Gaylord, MI 49735 | 2007-02-21 |
| 1033222575 | Margot Griffiths Forsyth | Dentist | 1723 W M 32 Bldg A, Gaylord, MI 49735-9544 | 2006-08-17 |
| 1033166426 | Edward Duski Jr. | Dentist | 911 E M 32, Gaylord, MI 49735-9701 | 2006-05-30 |
| 1205882156 | Thomas Curtis Vale | Dentist | 860 N Center Ave, Gaylord, MI 49735-1510 | 2006-05-25 |
| 1205815156 | Timothy R Hord | Dentist | 877 E M 32, Gaylord, MI 49735-9701 | 2006-01-10 |
| 1518961390 | Stephen P Forsyth | Dentist | 1723 W M 32, Bldg A, Gaylord, MI 49735-9544 | 2005-06-09 |
| Find all providers in GAYLORD | ||||
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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.