DR. KENNETH J. WISSER (NPI# 1518929363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518929363 |
| Entity Type | Individual |
| Full Name | DR. KENNETH J. WISSER |
| Credential | D.M.D. |
| Practice Address |
G5399 N Saginaw St Flint MI 48505-1536 |
| Mailing Address |
225 E 5th St Suite 300 Flint MI 48502-1641 |
| Practice Telephone | 8107850863 |
| Practice Fax Number | 8107850865 |
| Mailing Telephone | 8104064912 |
| Mailing Fax Number | 8104246029 |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2009-10-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
D10989 040 | MI | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | TAX ID | 382406558 | 01 |
| Street Address |
G5399 N SAGINAW ST |
| City | FLINT |
| State | MI |
| Zip Code | 48505-1536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043280191 | Piper Mcelroy | Dentist | G5399 N Saginaw St, Flint, MI 48505-1536 | 2006-01-23 |
| 1710513007 | Anne Marie Moore | Dental Hygienist | G5399 N Saginaw St, Flint, MI 48505-1536 | 2020-03-18 |
| 1093092637 | Danielle Lynn Stone | Dental Hygienist | G5399 N Saginaw St, Flint, MI 48505-1536 | 2011-11-10 |
| 1720382211 | Carrie King | Dental Hygienist | G5399 N Saginaw St, Flint, MI 48505-1536 | 2010-12-27 |
| 1669548582 | Hamilton Community Health Network Inc. | Clinic/Center | G5399 N Saginaw St, Flint, MI 48505-1536 | 2006-11-24 |
| 1932287810 | Alison Ladd | Dentist | G5399 N Saginaw St, Flint, MI 48505-1536 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912402629 | New Seasons Adult Services, LLC | Clinic/Center | 1035 E. Carpenter Road, Flint, MI 48505 | 2018-03-26 |
| 1477060176 | Metro Housing Development Corporation | Home Health | 930 East Myrtle Ave, Flint, MI 48505 | 2018-01-03 |
| 1912424193 | Courtney Reed | Behavior Technician | 4121 M L King Ave, Flint, MI 48505 | 2017-08-28 |
| 1871042960 | Patricia Giltrop | Dental Hygienist | 5399 N. Saginaw Street, Flint, MI 48505 | 2016-09-29 |
| 1265886048 | New Jerusalem Enterprise Inc | Custodial Care Facility | 1015 E. Carpenter Road, Flint, MI 48505 | 2016-04-19 |
| 1699185918 | Cynthia Bolden-howard | Pharmacist | 2900 N. Saginaw St, Flint, MI 48505 | 2014-05-08 |
| 1366881112 | Barry Michael Crawford | Family Medicine | 2900 N. Saginaw Street, Flint, MI 48505 | 2013-06-14 |
| 1043413206 | Debra Ann Fields-pettigrew | Social Worker | G2138 West Carpenter Rd, Flint, MI 48505 | 2007-06-06 |
| 1164962015 | Anya Marie Harris | Dentist | 2900 N Saginaw St, Flint, MI 48505 | 2017-02-26 |
| 1982001863 | Benjamin William Dempsey-klott | Nurse Practitioner | G2138 West Carpenter Rd, Flint, MI 48505 | 2014-11-20 |
| Find all providers in zip 48505 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598817793 | Susan L Doty | Dentist | 5051 W Bristol Rd, Flint, MI 48507-2922 | 2007-01-17 |
| 1700938909 | Nicholas J Gersch | Dentist | G-5051 W Bristol Rd, Flint, MI 48507-2922 | 2007-01-17 |
| 1932541455 | Periodontal Specialists of Flint PC | Dentist | 4252 S Linden Rd, Flint, MI 48507-2953 | 2013-07-25 |
| 1912157199 | Khalil & Kinaia D.d.s.,p.c. | Dentist | G3500 Flushing Rd, Ste 107e, Flint, MI 48504-4235 | 2008-09-24 |
| 1649322850 | Dr Susan L Doty and Dr Nicholas J Gersch Dds Ms PC | Dentist | 5051 W Bristol Rd, Flint, MI 48507-2922 | 2007-01-17 |
| 1740204023 | Luis Augusto Perez | Dentist | 2222 S Linden Rd, Suite D, Flint, MI 48532-5475 | 2006-07-27 |
| 1700836103 | William D Beck | Dentist | 4252 S Linden Rd, Flint, MI 48507-2953 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396352175 | Khaled Sinjab | Dentist | 8641 W Grand River Ave Ste 8, Brighton, MI 48116-4330 | 2020-09-25 |
| 1174134605 | Bay Periodontics | Dentist | 1666 Towsley Ln, Ann Arbor, MI 48105-9336 | 2020-08-10 |
| 1699309500 | Ann Arbor Periodontics | Dentist | 2715 Packard St Ste C, Ann Arbor, MI 48108-3365 | 2020-02-29 |
| 1679044192 | David I Lipton D.d.s., M.s. | Dentist | 50 W Big Beaver Rd Ste 150, Bloomfield Hills, MI 48304-3911 | 2018-12-10 |
| 1326576646 | Thomas James Fleszar | Dentist | 1175 Harrow Cir, Bloomfield Hills, MI 48304-3922 | 2017-05-31 |
| 1386185445 | Khairunnisa Quraishi Dds PC | Dentist | 37184 Dequindre Rd, Sterling Heights, MI 48310-3536 | 2017-03-09 |
| 1578002812 | Michigan Periodontics Group LLC | Dentist | 350 N Main St Ste 110, Chelsea, MI 48118-1486 | 2017-02-20 |
| 1518410836 | Mohamed Elazhri | Dentist | 27200 Parkview Blvd Apt 901, Warren, MI 48092-2820 | 2016-08-03 |
| 1316314834 | Whitney Dunn Weiner | Dentist | 2425 E Lincoln St, Suite 100, Birmingham, MI 48009-7100 | 2015-09-01 |
| 1639569684 | Divine Family Denistry | Dentist | 27845 Gratiot Ave, Roseville, MI 48066-4848 | 2015-01-29 |
| 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.