DR. PAVAN KUMAR (NPI# 1316398902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316398902 |
| Entity Type | Individual |
| Full Name | DR. PAVAN KUMAR |
| Credential | D.D.S. |
| Practice Address |
2790 12 Mile Rd Berkley MI 48072-1630 |
| Practice Telephone | 2484390088 |
| Practice Fax Number | 2484392900 |
| Mailing Telephone | 2484390088 |
| Mailing Fax Number | 2484392900 |
| Enumeration Date | 2016-06-25 |
| Last Update Date | 2020-07-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 2901021992 | MI | Dental Providers |
| Street Address |
2790 12 MILE RD |
| City | BERKLEY |
| State | MI |
| Zip Code | 48072-1630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780096792 | Hygienist Recommended Inc | Dentist | 2790 12 Mile Rd, Berkley, MI 48072-1630 | 2014-05-25 |
| 1447871470 | Jamie Soli | Dental Hygienist | 2790 12 Mile Rd, Berkley, MI 48072-1630 | 2020-04-30 |
| 1619598646 | Kristi Fairchild | Dental Hygienist | 2790 12 Mile Rd, Berkley, MI 48072-1630 | 2020-04-30 |
| 1811309826 | Danielle Candice Pietraszewski | Dental Hygienist | 2790 12 Mile Rd, Berkley, MI 48072-1630 | 2014-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336759539 | Embodied Wellness, Pllc | Counselor | 1354 Harvard Rd, Berkley, MI 48072 | 2020-08-03 |
| 1790202224 | Medcrafters Rx Pharmacy LLC | Pharmacy | 3348 W 12 Mile Rd, Berkley, MI 48072 | 2017-08-25 |
| 1144684861 | Marilyn Ann Hawkins | Registered Nurse | 2766 West 11 Mile Rd., Beckley, MI 48072 | 2016-04-08 |
| 1134547862 | Rimma Polevoy | Internal Medicine | 1949 12 Mile Rd Ste 100, Berkley, MI 48072 | 2014-03-31 |
| 1245676212 | Chelsea Peraino Smoots | Social Worker | 892 11 Mile Rd, Berkley, MI 48072 | 2013-05-17 |
| 1770730483 | Bryce Paul Roekle | Counselor | 1799 Phillips Avenue, Berkley, MI 48072 | 2008-08-25 |
| 1003003617 | Oakland Family Services | Community/Behavioral Health | 2351 West 12 Mile Road, Berkley, MI 48072 | 2007-09-27 |
| 1063605012 | Care Plus Home Health Services, Inc | Home Health | 28139 Woodward Ave, Berkley, MI 48072 | 2007-08-23 |
| 1346370020 | David Jason Carpenter | Social Worker | 2345 West 12 Mile Road, Berkley, MI 48072 | 2007-03-06 |
| 1871674192 | Robert Igwe | Internal Medicine | 1949 West Twelve Mile Rd, Ste 200, Berkley, MI 48072 | 2006-10-17 |
| Find all providers in zip 48072 | ||||
| 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 |
|---|---|---|---|---|
| 1710378211 | Diora Christina Jouja | Dentist | 1665 W 12 Mile Rd, Berkley, MI 48072-2121 | 2015-02-05 |
| 1780096792 | Hygienist Recommended Inc | Dentist | 2790 12 Mile Rd, Berkley, MI 48072-1630 | 2014-05-25 |
| 1609082510 | Ron T Williamson Dds and Associates Plc | Dentist | 1964 W 11 Mile Rd, Suite 4, Berkley, MI 48072-3046 | 2007-05-15 |
| 1922187582 | Sara Elizabeth Ruddy | Dentist | 3083 Coolidge Hwy, Berkley, MI 48072-3523 | 2006-11-03 |
| 1255419958 | Najah D Roumayah | Dentist | 3211 Coolidge Hwy, Berkley, MI 48072-1633 | 2006-11-01 |
| 1891708103 | Pierre Charles Beaudet | Dentist | 1130 Catalpa, Berkley, MI 48072 | 2006-08-15 |
| 1770535981 | Samer G. Shamoon | Dentist | 600 W 11 Mile Rd, Berkley, MI 48072-3027 | 2006-05-16 |
| 1104806389 | Roger William Black | Dentist | 28969 Woodward Ave, Berkley, MI 48072-0916 | 2006-01-22 |
| 1992359566 | Bradley Merritt | Dentist | 1865 Coolidge Hwy, Berkley, MI 48072-3042 | 2019-07-31 |
| 1023532298 | Jared Gibby | Dentist | 1865 Coolidge Hwy, Berkley, MI 48072-3042 | 2017-07-31 |
| Find all providers in BERKLEY | ||||
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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.