PEDIATRIC DENTAL ASSOCIATES (NPI# 1306033188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306033188 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC DENTAL ASSOCIATES |
| Practice Address |
10407 Grand River Rd 600 Brighton MI 48116-6532 |
| Practice Telephone | 8102279015 |
| Practice Fax Number | 8102276940 |
| Mailing Telephone | 8102279015 |
| Mailing Fax Number | 8102276940 |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2007-09-26 |
| Authorized Official Name | DR. KEVIN JOSEPH HALE (PRESIDENT) |
| Authorized Official Telephone | 8102279015 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265612469 | Pediatric Dental Associates | Dentist | 404 S 5th St, Gadsden, AL 35901-5102 | 2007-11-06 |
| 1063624518 | Pediatric Dental Associates | Dentist | 30 E 40th St, Suite 503, New York, NY 10016-1201 | 2007-05-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | PEDIATRIC DENTAL ASSOCIATES | 1045 Willagillespie Rd Suite 100, Eugene, OR 97401 |
| Oregon Corporations, Companies and Business Names | PEDIATRIC DENTAL ASSOCIATES OF ALBANY | 155 Hickory Street Nw, Suite A, Albany, OR 97321 |
| Oregon Corporations, Companies and Business Names | PEDIATRIC DENTAL ASSOCIATES OF CENTRAL OREGON | 413 Nw Larch Ave Ste 201, Redmond, OR 97756 |
| Ohio Business Entities | PEDIATRIC DENTAL ASSOCIATES OF WEST CHESTER - DR. BRACKEN WEBB | 9215 Cincinnati-columbus Road, West Chester, OH 45069 |
| Alabama Business Registrations | Pediatric Dental Associates, LLC | |
| New York State Corporations | PEDIATRIC DENTAL ASSOCIATES, PLLC | 1800 Maple Road, Suite 200, Williamsville, Ny 14221 |
| Street Address |
10407 GRAND RIVER RD 600 |
| City | BRIGHTON |
| State | MI |
| Zip Code | 48116-6532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366480253 | Virginia Elizabeth Eick | Dentist | 10407 Grand River Rd, Ste 900, Brighton, MI 48116-6532 | 2006-06-03 |
| 1245612134 | Virginia E. Eick, Dds, PC | Dentist | 10407 Grand River Rd, Suite 900, Brighton, MI 48116-6532 | 2015-06-26 |
| 1275655136 | Kevin Joseph Hale | Dentist | 10407 Grand River Rd, Suite #600, Brighton, MI 48116-6532 | 2007-04-04 |
| 1346362241 | Sarah Anne Carrico | Dentist | 10407 Grand River Rd, Suite 600, Brighton, MI 48116-6532 | 2007-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134686470 | Kristen Marie Ora | Social Worker | 8548 Grand River, Brighton, MI 48116 | 2019-02-22 |
| 1861981839 | Root To Rise Pllc | Social Worker | 396 Woodlake Dr, Brighton, MI 48116 | 2018-05-06 |
| 1952852857 | Valley Medical Pharmacy LLC | Pharmacy | 320 W Grand River Ave, Brighton, MI 48116 | 2016-10-17 |
| 1619360047 | Reema S Beri | Psychologist | 10327 East Grand River Avenue, Suite 406, Brighton, MI 48116 | 2015-03-10 |
| 1669883872 | Holly Babcock | Pharmacist | 8650 W Grand River, Brighton, MI 48116 | 2014-05-12 |
| 1861803991 | Corrigan Counseling Plc | Community/Behavioral Health | 710 E. Grand River Ave, Suite 2, Brighton, MI 48116 | 2014-05-12 |
| 1760756274 | Karen Joan Bergbower | Social Worker | 10299 Grand River, Suite P, Brighton, MI 48116 | 2012-03-01 |
| 1518298843 | Adam N Rushford | Chiropractor | 10192 E Grand River, Suite 107, Brighton, MI 48116 | 2010-01-27 |
| 1548419617 | Doreen Csokasy | Psychologist | 10315 E. Grand River, Brighton, MI 48116 | 2008-09-15 |
| 1336314350 | Larry Patrick Dewulf | Dentist | 8609 W Grand River, #102-1, Brighton, MI 48116 | 2008-04-30 |
| Find all providers in zip 48116 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316321557 | Hazha Ibrahim | Dentist | 5127 E Bridge St Ste B, Brighton, CO 80601-8318 | 2015-07-17 |
| 1225013451 | Rachel Louise Packer | Dentist | 2700 E Bridge St Ste 201, Brighton, CO 80601-2561 | 2005-12-09 |
| 1043756950 | Rebecca Fountain | Dentist | 3494 Eagle Blvd, Brighton, CO 80601 | 2017-01-17 |
| 1003058116 | Rachel Packer Dds PC | Dentist | 2700 E Bridge St Ste 201, Brighton, CO 80601-2561 | 2009-04-03 |
| 1275655136 | Kevin Joseph Hale | Dentist | 10407 Grand River Rd, Suite #600, Brighton, MI 48116-6532 | 2007-04-04 |
| 1346362241 | Sarah Anne Carrico | Dentist | 10407 Grand River Rd, Suite 600, Brighton, MI 48116-6532 | 2007-04-04 |
| 1447309497 | Charlene Pirner | Dentist | 30 Warren St, Brighton, MA 02135-3602 | 2007-01-09 |
| 1750430716 | John Steven Viveiros | Dentist | 30 Warren St, Brighton, MA 02135-3602 | 2007-01-09 |
| 1689759763 | Cristina Paz Baens | Dentist | 30 Warren St, Brighton, MA 02135-3602 | 2006-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033717558 | Discover Smiles Pediatric Dentistry | Dentist | 2277 Science Pkwy Ste 2, Okemos, MI 48864-2551 | 2020-10-16 |
| 1740898873 | Megan E Stowers Dds Ms Plc | Dentist | 7459 Middlebelt Rd Ste 1, West Bloomfield, MI 48322-4184 | 2020-07-15 |
| 1447884069 | Jocelyn M. Robelli Dds, Ms, Pllc | Dentist | 18245 E 10 Mile Rd Ste 110, Roseville, MI 48066-5807 | 2020-02-24 |
| 1457914038 | Mitten Kids Dentistry Caledonia Plc | Dentist | 6477 Cherry Meadow Dr Se Ste 4, Caledonia, MI 49316-7351 | 2019-04-18 |
| 1780143982 | Childrens Dental Specialists of Hazel Park Pllc | Dentist | 22241 John R Rd, Hazel Park, MI 48030-1716 | 2019-03-18 |
| 1487128120 | Dental Group Associates PC | Dentist | 4505 Cascade Rd Se # B, Grand Rapids, MI 49546-8381 | 2019-01-16 |
| 1184194433 | Pediatric Dental Specialists of West Michigan | Dentist | 2155 E Paris Ave Se Ste 120, Grand Rapids, MI 49546-6142 | 2018-11-29 |
| 1811465990 | Kingma Pediatric Dentistry Pllc | Dentist | 1179 E Paris Ave Se Ste 130, Grand Rapids, MI 49546-3682 | 2018-11-07 |
| 1407322548 | Great Lakes Bay Pediatric Dentistry, Plc | Dentist | 5605 Colony Dr N Ste 2, Saginaw, MI 48638-7187 | 2018-10-16 |
| 1063987725 | Little Red Pediatric Dentistry, Plc | Dentist | 12723 N Bellwood Dr Ste 20, Holland, MI 49424-7275 | 2018-10-09 |
| 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.