KEVIN M. HALUB (NPI# 1275580334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275580334 |
| Entity Type | Individual |
| Full Name | KEVIN M. HALUB |
| Credential | DDS |
| Practice Address |
11 N Maple St Suite 200 Grant MI 49327-7900 |
| Practice Telephone | 2318349750 |
| Practice Fax Number | 2318341459 |
| Mailing Telephone | 2318349750 |
| Mailing Fax Number | 2318341459 |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2011-05-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2901014001 | MI | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS BLUE SHEILD | D800473 | 01 |
| MI | 4718084 | 05 |
| Street Address |
11 N MAPLE ST SUITE 200 |
| City | GRANT |
| State | MI |
| Zip Code | 49327-7900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124092838 | Lisabeth Joy Gee | Physician Assistant | 11 N Maple St, Grant, MI 49327 | 2006-02-17 |
| 1134761968 | Amanda Ludlow | Counselor | 11 N Maple St, Grant, MI 49327-7900 | 2019-10-14 |
| 1548773377 | Abrielle Kay Lamphere | Dental Hygienist | 11 N Maple St, Grant, MI 49327-7900 | 2017-11-15 |
| 1295257509 | Brett J Stacer | Physician Assistant | 11 N Maple St, Grant, MI 49327-7900 | 2017-07-10 |
| 1669844122 | Debbie Symon | Dental Hygienist | 11 N Maple St, Grant, MI 49327-7900 | 2015-10-23 |
| 1780056259 | Amy Loper | Dental Hygienist | 11 N Maple St, Grant, MI 49327-7900 | 2015-10-23 |
| 1104219260 | Kristyn Heins | Counselor | 11 N Maple St, Grant, MI 49327-7900 | 2015-03-13 |
| 1598171506 | Jacqueline Lopez Mendoza | Dentist | 11 N Maple St, Grant, MI 49327-7900 | 2014-07-10 |
| 1033523311 | Miranda Bickel | Dentist | 11 N Maple St, Grant, MI 49327-7900 | 2014-06-16 |
| 1134547565 | Karen Miller | Pharmacist | 11 N Maple St, Grant, MI 49327-7900 | 2014-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255366563 | Michael G Nichols | Dentist | 11 N Maple, Grant, MI 49327 | 2006-07-12 |
| 1396096004 | Nicole A Parrott | Nurse Practitioner | 96 E 120th St, Grant, MI 49327 | 2012-09-21 |
| 1740431832 | Gerald Van Wieren, M.d., P.C. | Internal Medicine | 71 S Front St, Grant, MI 49327 | 2008-10-07 |
| 1932121852 | Roderick W Stepter | Dentist | 11 N Maple, Box 7, Grant, MI 49327 | 2006-07-24 |
| 1033144340 | Kelly Jean Bulk | Physician Assistant | 11 N Maple, Grant, MI 49327 | 2006-07-12 |
| 1992928204 | Michael John Vokits | Pharmacist | 53 S. Maple, Grant, MI 49327-0125 | 2007-04-11 |
| 1235465675 | Baruch Sls, Inc. | Clinical Medical Laboratory | 50 S Maple St, Grant, MI 49327-8426 | 2009-10-20 |
| 1003959784 | Sarah Christine Willmore | Pharmacist | 53 S Maple St, Grant, MI 49327-8426 | 2007-02-14 |
| 1861501306 | Rite Aid of Michigan Inc | Durable Medical Equipment & Medical Supplies | 53 South Maple Street, Grant, MI 49327-8426 | 2006-08-29 |
| 1144742610 | Michael Lee Buss | Pharmacist | 53 S Maple St, Grant, MI 49327-8426 | 2017-07-16 |
| Find all providers in zip 49327 | ||||
| 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 |
|---|---|---|---|---|
| 1467550566 | Julian F Sparks | Dentist | 114 Emmett Ayers Rd, Grant, AL 35747-0069 | 2006-09-20 |
| 1598171506 | Jacqueline Lopez Mendoza | Dentist | 11 N Maple St, Grant, MI 49327-7900 | 2014-07-10 |
| 1033523311 | Miranda Bickel | Dentist | 11 N Maple St, Grant, MI 49327-7900 | 2014-06-16 |
| 1073775516 | Thomas H Simon | Dentist | 11 N Maple St, Grant, MI 49327-7900 | 2008-06-26 |
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|---|---|---|---|---|
| 1336749522 | Berman Family Dentistry Pllc | Dentist | 9430 S Main St Ste 1, Plymouth, MI 48170-4149 | 2020-10-28 |
| 1821696956 | Dream Dental Group Pllc | Dentist | 9600 Commerce Rd, Commerce Twp, MI 48382-4111 | 2020-10-12 |
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| 1255948790 | Jamie L Hafke Dds Pllc | Dentist | 1955 N Pontiac Trl, Walled Lake, MI 48390-3157 | 2020-09-29 |
| 1942817812 | Maria Edith Cserhalmi | Dentist | 20618 Harper Ave., Harper Woods, MI 48225-1429 | 2020-09-25 |
| 1649886748 | Advanced Family Dentistry-plymouth Pllc | Dentist | 44644 Ann Arbor Rd W Ste F, Plymouth, MI 48170-4089 | 2020-09-23 |
| 1396351045 | Sandra Alias | Dentist | 27828 Westcott Crescent Cir, Farmington Hills, MI 48334-5314 | 2020-09-18 |
| 1265047641 | Michigan Implant Dental Center | Dentist | 28701 Plymouth Rd Ste B, Livonia, MI 48150-2421 | 2020-09-11 |
| 1366057929 | Dr. Leigh Ellen Snyder Dds | Dentist | 16869 E 14 Mile Rd, Fraser, MI 48026-2239 | 2020-09-10 |
| 1215541305 | Kevin P Cooper Dds PC | Dentist | 202 Brady Street, Sault Sainte Marie, MI 49783 | 2020-09-04 |
| 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.