DR. MARK THOMAS MAKELA (NPI# 1619195666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619195666 |
| Entity Type | Individual |
| Full Name | DR. MARK THOMAS MAKELA |
| Credential | D.D.S |
| Practice Address |
2454 Harbor Petoskey Rd Petoskey MI 49770 |
| Practice Telephone | 2313472511 |
| Mailing Telephone | 2313472511 |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
15051 | MI | Dental Providers |
| Street Address |
2454 HARBOR PETOSKEY RD |
| City | PETOSKEY |
| State | MI |
| Zip Code | 49770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780231985 | Olivia Michelle Seaman | Pharmacist | 1301 U.S. 31 N. Hwy, Petoskey, MI 49770 | 2019-08-22 |
| 1649733148 | Harbor Hall, Inc. | Clinic/Center | 302 Orchard Ridge Drive, Petoskey, MI 49770 | 2019-04-11 |
| 1053802942 | Devin Hueston | Dentist | 231 State St Ste 3, Petoskey, MI 49770 | 2018-05-25 |
| 1720585037 | Jacob Kenneth Tracy | Counselor | 410 E Lake Street, Suite 100, Petoskey, MI 49770 | 2018-04-12 |
| 1013424191 | Timothy Robert La Gasse | Nurse Practitioner | 401 Connable Ave, Petoskey, MI 49770 | 2018-01-10 |
| 1609303676 | Shauna Sue Stark | Nurse Practitioner | 560 W Mitchell St Ste 505, Petoskey, MI 49770 | 2017-05-22 |
| 1053851519 | Maureen Todd | Counselor | 703 Emmet St, Petoskey, MI 49770 | 2017-03-03 |
| 1457719239 | Hufford Vision & Eye Care, PC | Optometrist | 560 West Mitchell, Suite 214, Petoskey, MI 49770 | 2016-02-08 |
| 1053779439 | Kaylyn Schiemann | Specialist/Technologist | 1980 Maxwell Rd, Petoskey, MI 49770 | 2016-02-01 |
| 1669839130 | Stieber Pediatric Dentistry Pllc | Clinic/Center | 1605 Us 131 Highway, Petoskey, MI 49770 | 2016-01-28 |
| Find all providers in zip 49770 | ||||
| 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 |
|---|---|---|---|---|
| 1467930974 | Robert Orson Pemberton | Dentist | 1642 Us Highway 131, Petoskey, MI 49770-8339 | 2018-08-06 |
| 1053802942 | Devin Hueston | Dentist | 231 State St Ste 3, Petoskey, MI 49770 | 2018-05-25 |
| 1639410178 | Bruce D Edwards | Dentist | 2115 M-119, Petoskey, MI 49770 | 2013-03-08 |
| 1255546123 | Reginald Edward Whitcomb | Dentist | 1301 S Us Highway 131, Petoskey, MI 49770-8896 | 2007-05-13 |
| 1801936893 | David K Miller Jr. | Dentist | 2503 Charlevoix Ave, Petoskey, MI 49770-8523 | 2007-02-07 |
| 1396805867 | Rodney J Grambeau Jr. | Dentist | 2044 E Mitchell Rd, Petoskey, MI 49770-9603 | 2006-12-12 |
| 1134288806 | Donald Scott Eaton | Dentist | 4144 Charlevoix Ave, Petoskey, MI 49770 | 2006-12-08 |
| 1831258151 | Charles R Farrugia | Dentist | 1982 E Mitchell Rd, Petoskey, MI 49770-9603 | 2006-12-06 |
| 1821171265 | Arthur T Denton | Dentist | 201 Division St, Petoskey, MI 49770-2443 | 2006-10-21 |
| 1225139348 | Brian Jeremy Wills | Dentist | 204 State St, Petoskey, MI 49770-2718 | 2006-09-25 |
| Find all providers in PETOSKEY | ||||
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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.