GLEN VALLEY DENTISTRY (NPI# 1538100482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538100482 |
| Entity Type | Organization |
| Organization Name | GLEN VALLEY DENTISTRY |
| Practice Address |
9041 N Rodgers Ct Se Caledonia MI 49316-7660 |
| Practice Telephone | 6168918931 |
| Practice Fax Number | 6168919803 |
| Mailing Telephone | 6168918931 |
| Mailing Fax Number | 6168919803 |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | MRS. ROBIN T. VAUGHAN (OWNER/DENTIST) |
| Authorized Official Telephone | 6168918931 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2901014542 | MI | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS OF MI | D801041 | 01 |
| MI | UNITED CONCORDIA # | 846910 | 01 |
| MI | 4836800 | 05 |
| Street Address |
9041 N RODGERS CT SE |
| City | CALEDONIA |
| State | MI |
| Zip Code | 49316-7660 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649765413 | Charles T Wenzel | Dentist | 9041 N Rodgers Ct Se, Caledonia, MI 49316-7660 | 2018-06-25 |
| 1033260286 | Eric D Hannapel | Dentist | 9041 N Rodgers Ct Se, Caledonia, MI 49316-7660 | 2007-01-15 |
| 1912914573 | Kevin Andrew Coe | Dentist | 9041 N Rodgers Ct Se, Caledonia, MI 49316-7660 | 2006-08-03 |
| 1689681322 | Robin Teresa Vaughan | Dentist | 9041 N Rodgers Ct Se, Caledonia, MI 49316-7660 | 2006-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407326036 | Daina Elizabeth Graves | Occupational Therapist | 10560 Whispering Waters Ln Se, Caledonia, MI 49316 | 2018-11-27 |
| 1033619135 | Spectrum Health Primary Care Partners | Physical Therapist | 6201 68th St Se, Caledonia, MI 49316 | 2018-02-15 |
| 1538672035 | Justin Michael Keely | Student in an Organized Health Care Education/Training Program | 8441 Sunnyview Rd., Caledonia, MI 49316 | 2017-11-07 |
| 1457614521 | Rahaf Halimeh | Dentist | 3625 Riverbed Lane Se, #3, Caledonia, MI 49316 | 2012-06-22 |
| 1487913158 | Adam Zachary Mitchell | Family Medicine | 9090 S Rodgers Ct Se Ste A, Caledonia, MI 49316 | 2012-05-15 |
| 1841588522 | Oday Ali Kasim | Pharmacist | 9375 Cherry Valley Ave., Caledonia, MI 49316 | 2011-07-15 |
| 1417183344 | Allison Leigh Ford | Physical Therapist | 10047 Cross Road Ct. Se, Suite 150, Caledonia, MI 49316 | 2009-06-05 |
| 1336351741 | Paula Delorm | Physical Therapist | 6595 Gracepoint Dr. Se, Caledonia, MI 49316 | 2007-05-06 |
| 1366532798 | Wayne D Westbrook | Dentist | 3125 68th St Se, Dutton, MI 49316 | 2006-10-14 |
| 1629184056 | Patricia Brunck Cassell | Social Worker | 9090 Sourth Rodgers Court Se, Caledonia, MI 49316 | 2006-08-21 |
| Find all providers in zip 49316 | ||||
| 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 |
|---|---|---|---|---|
| 1093836363 | Thomas Grias | Dentist | 9363 Cherry Valley Ave Se, Caledonia, MI 49316-9506 | 2007-04-03 |
| 1184748824 | Christopher J Hier | Dentist | 9505 Cherry Valley Ave Se, Suite B, Caledonia, MI 49316-9524 | 2007-03-19 |
| 1992840037 | Laurence Phillip Schweichler | Dentist | 3144 Church St, Caledonia, NY 14423-1013 | 2007-02-20 |
| 1619051653 | Family Dental Center of Caledonia LLC | Dentist | 120 W Main, Caledonia, MN 55921 | 2006-10-25 |
| 1700866308 | Richard Clyde Robertson | Dentist | 9090 S Rodgers Ct Se, Caledonia, MI 49316-8052 | 2006-01-19 |
| 1649765413 | Charles T Wenzel | Dentist | 9041 N Rodgers Ct Se, Caledonia, MI 49316-7660 | 2018-06-25 |
| 1962666289 | Meghan Wheeler | Dentist | 3352 Brown Rd, Caledonia, NY 14423-9534 | 2008-07-16 |
| 1235262684 | Gary L Scott | Dentist | 9021 N Rodgers Ct Se, Suite E, Caledonia, MI 49316-7649 | 2007-03-14 |
| 1508999053 | Brian Scott Mckeown | Dentist | 9021 N Rodgers Ct Se, Suite E, Caledonia, MI 49316-7649 | 2007-03-13 |
| 1942333497 | Family Dentistry of Caledonia | Dentist | 9021 N Rodgers Ct Se, Suite E, Caledonia, MI 49316-7649 | 2007-03-13 |
| Find all providers in CALEDONIA | ||||
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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.