DR. KADIE ANN KOOLWICK


Address: 5500 Northland Dr Ne, Grand Rapids, MI 49525-1064
Phone: 6163649451

DR. KADIE ANN KOOLWICK (NPI# 1639797640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639797640
Entity Type Individual
Full Name DR. KADIE ANN KOOLWICK
Credential DDS
Practice Address 5500 Northland Dr Ne
Grand Rapids
MI 49525-1064
Mailing Address 5873 Kingsfield Dr
West Bloomfield
MI 48322-1479
Practice Telephone 6163649451
Mailing Telephone 2489967645
Enumeration Date 2020-07-07
Last Update Date 2020-07-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist 2901600589 MI Dental Providers

Office Location

Street Address 5500 NORTHLAND DR NE
City GRAND RAPIDS
State MI
Zip Code 49525-1064

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1477195246 Epic Discoveries LLC Counselor 4867 E. Beltline Ave Ne, Grand Rapids, MI 49525 2019-10-14
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1821558958 Mindful Trajectories Social Worker 3280 Beltlne Ct Ne, Grand Rapids, MI 49525 2019-03-24
1104380518 Julianne Lettinga, Ma Lpc Counseling Counselor 3280 East Beltline Ct Ne, Grand Rapids, MI 49525 2019-01-30
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1568976017 Amy K. Deyoung, Dds, Ms, PC Pediatric Dentistry Dentist 3297 Eagle Run Dr. Ne, Grand Rapids, MI 49525 2017-11-20
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962053744 Gr Sound Sleep LLC Dentist 6677 Crossings Dr Se Ste 4, Grand Rapids, MI 49508-7889 2019-09-24
1598323016 Kelly Reinhardt Dentist 847 Parchment Dr Se Ste 110, Grand Rapids, MI 49546-2377 2019-05-30
1063079242 Andrew Stuart Kuehn Dentist 1121 Se 4th Ave, Grand Rapids, MN 55744-3956 2019-05-23
1316467954 Hendrik Vanholsbeeck Dentist 2515 Alpine Ave Nw # A, Grand Rapids, MI 49544 2017-06-25
1710417969 Mccoy Family Dentistry Dentist 2330 44th St Se, Grand Rapids, MI 49508-4700 2017-06-19
1427594027 Mel Trotter Ministries Dental Clinic Dentist 225 Commerce Ave Sw, Grand Rapids, MI 49503-4107 2017-01-06
1265980957 Brittany Ann Rashid Dentist 2549 Tall Timber Ct Se, Grand Rapids, MI 49546-6787 2016-09-12
1336591791 Nicole Totten Dentist 3320 Alpine Ave., Grand Rapids, MI 49544 2016-07-11
1083098198 Alexandra Dodds Dentist 2609 Breton Rd Se, Grand Rapids, MI 49546 2015-07-17
1841673399 Sara A. Gaalaas Dentist 504 Nw 1st Ave Ste 200, Grand Rapids, MN 55744-2663 2015-07-01
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Competitor

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City GRAND RAPIDS
Zip Code 49525

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Dataset Information

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.

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