MID-MICHIGAN PEDIATRIC DENTISTRY (NPI# 1437323904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437323904 |
| Entity Type | Organization |
| Organization Name | MID-MICHIGAN PEDIATRIC DENTISTRY |
| Practice Address |
1125 S Linden Rd Suite 800 Flint MI 48532-4073 |
| Practice Telephone | 8107335310 |
| Practice Fax Number | 8107331216 |
| Mailing Telephone | 8107335310 |
| Mailing Fax Number | 8107331216 |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2014-01-01 |
| Authorized Official Name | DR. JOHN MICHAEL SUSHYNSKI (MEMBER) |
| Authorized Official Telephone | 8107335310 |
| Authorized Official Credential | D.D.S., M.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
2901019960 | MI | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4060491 | 05 |
| Street Address |
1125 S LINDEN RD SUITE 800 |
| City | FLINT |
| State | MI |
| Zip Code | 48532-4073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386639813 | Amitabha Banerjee | Pediatrics | 1125 S Linden Rd, Suite 500, Flint, MI 48532-4073 | 2005-09-12 |
| 1497146054 | Alexander John Ferda | Registered Nurse | 1125 S Linden Rd, Suite 210, Flint, MI 48532-4073 | 2015-02-17 |
| 1427479369 | Alzheimer's Disease and Association, Inc | Community/Behavioral Health | 1125 S Linden Rd, Flint, MI 48532-4073 | 2013-12-19 |
| 1659623239 | Alzheimers Disease and Related Disorders Association Incorporated | Case Management | 1125 S Linden Rd, Suite 950, Flint, MI 48532-4073 | 2012-10-08 |
| 1235420027 | Shandelle Lynn Kyrolainen | Social Worker | 1125 S Linden Rd, Suite 700, Flint, MI 48532-4073 | 2011-04-27 |
| 1114168978 | John Michael Sushynski | Dentist | 1125 S Linden Rd, Suite 800, Flint, MI 48532-4073 | 2009-03-09 |
| 1720204175 | Sherry D Hodge | Counselor | 1125 S Linden Rd, Suite 950, Flint, MI 48532-4073 | 2007-04-17 |
| 1528008885 | James M Neubeck | Obstetrics & Gynecology | 1125 S Linden Rd, Suite 900, Flint, MI 48532-4073 | 2006-06-07 |
| 1811965486 | Clark Ernest Jones | Family Medicine | 1125 S Linden Rd, Ste 900, Flint, MI 48532-4073 | 2006-03-09 |
| 1437124062 | Ghassan Bachuwa | Internal Medicine | 1125 S Linden Rd, Suite 700, Flint, MI 48532-4073 | 2006-02-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524859 | Amber Marie Lee | Physician Assistant | 2265 South Lindenroad, Suite A, Flint, MI 48532 | 2020-09-25 |
| 1639709496 | Tammara Kamei | Counselor | 2425 S.linden Rd, Suite D Unit 100, Flint, MI 48532 | 2020-01-21 |
| 1306481882 | Christine Rice | Case Manager/Care Coordinator | 3169 Beecher Road, Flint, MI 48532 | 2019-11-08 |
| 1780154336 | Sarah Marie Shaw | Case Manager/Care Coordinator | 2091 Professional Drive, Flint, MI 48532 | 2018-11-27 |
| 1215412093 | Adria D Haynes | Social Worker | G-4413 Corunna Rd., Flint, MI 48532 | 2018-09-27 |
| 1689159378 | Vip Smiles Dentistry, Pllc | Dentist | 1104 South Linden Rd, Building B, Suite 1, Flint, MI 48532 | 2018-09-27 |
| 1942794797 | Premier Eye Specialists Pllc | Ophthalmology | 1160 S Linden Rd, Bldg. 1 Ste. A, Flint, MI 48532 | 2018-06-15 |
| 1720587710 | Cassandra Socia | Dental Hygienist | G3222 Beecher Road, Flint, MI 48532 | 2018-02-06 |
| 1235660291 | Ashley L Boltjes | Massage Therapist | 3277 Beecher Rd, Flint, MI 48532 | 2017-03-22 |
| 1497202774 | Tyneshia Mcfarland | Home Health | 2104 Ridgecliffe Dr, Flint, MI 48532 | 2016-09-05 |
| Find all providers in zip 48532 | ||||
| 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 |
|---|---|---|---|---|
| 1326028044 | Mark Edward Koonmen | Dentist | 1122 S Linden Rd, Flint, MI 48532-3437 | 2006-01-19 |
| 1609850361 | Robert F. Majewski | Dentist | 806 Tuuri Place, Mott Children's Health Center, Flint, MI 48503 | 2005-12-05 |
| 1346650041 | Julie Freeman | Dentist | 806 Tuuri Pl, Flint, MI 48503 | 2014-05-02 |
| 1992092969 | Litsa Karaouzas | Dentist | 806 Tuuri Pl, Flint, MI 48503-2465 | 2011-06-29 |
| 1114168978 | John Michael Sushynski | Dentist | 1125 S Linden Rd, Suite 800, Flint, MI 48532-4073 | 2009-03-09 |
| 1114138146 | Ingrace Dental Clinic, Plc | Dentist | 2222 S Linden Rd, Suite K, Flint, MI 48532-5475 | 2007-05-24 |
| 1912020363 | Nnenna Nwanyiriuba Eboda | Dentist | 2222 S Linden Rd, Suite K, Flint, MI 48532-5475 | 2007-04-09 |
| 1396825998 | Mark E. Koonmen, Dds, Ms, PC | Dentist | 1122 S Linden Rd, Flint, MI 48532-3437 | 2006-10-17 |
| 1114039146 | Neerrajah Ramaswami | Dentist | 806 Tuuri Pl, Flint, MI 48503-2465 | 2006-08-31 |
| 1598872681 | Terence Chan | Dentist | 1122 S Linden Rd, Building E, Flint, MI 48532-3437 | 2006-08-24 |
| Find all providers in FLINT | ||||
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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.