GEORGE A CRIPPS DDS PC (NPI# 1750569323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750569323 |
| Entity Type | Organization |
| Organization Name | GEORGE A CRIPPS DDS PC |
| Practice Address |
6714 Division Ave S Grand Rapids MI 49548-7808 |
| Practice Telephone | 6164557310 |
| Practice Fax Number | 6164550332 |
| Mailing Telephone | 6164557310 |
| Mailing Fax Number | 6164550332 |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2008-02-06 |
| Authorized Official Name | DR. GEORGE A CRIPPS (PRESIDENT) |
| Authorized Official Telephone | 6164557310 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS0112X |
Clinic/Center Specialization: Oral and Maxillofacial Surgery |
9406 | MI | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4018095 | 05 |
| Street Address |
6714 DIVISION AVE S |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49548-7808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205319811 | Pooja Patel | Social Worker | Spectrum Community Services, 3353 Lousma Dr. Se, Wyoming, MI 49548 | 2018-09-10 |
| 1063906865 | Kimberly Eccher | Physician Assistant | 300 68th St. Se, Grand Rapids, MI 49548 | 2018-06-15 |
| 1871099481 | Baymark of Michigan, Inc. | Clinic/Center | 5500 Division Avenue Se, Kentwood, MI 49548 | 2018-04-03 |
| 1629507801 | Laura Marie Quennoz | Psychiatry & Neurology | Pine Rest Christian Mental Health Services, 300 68th Street Se, Grand Rapids, MI 49548 | 2017-06-09 |
| 1821548504 | Alison Anderson | Technician, Other | 103 Roth St Se, Grand Rapids, MI 49548 | 2016-10-06 |
| 1831540152 | Jesse Aubil | Counselor | 264 Montebello St. Se 49548, Grand Rapids, MI 49548 | 2016-06-28 |
| 1306237920 | Sarah Benton | Social Worker | 225 Colrain St Sw, 2, Grand Rapids, MI 49548 | 2015-02-18 |
| 1578996856 | Karen Marie Irving | Social Worker | 3353 Lousma Dr. Se, Wyoming, MI 49548 | 2013-08-09 |
| 1740348044 | Robert Kenneth Richmond | Preventive Medicine | 551 36th Street. Se, Wyoming, MI 49548 | 2006-12-05 |
| 1386738953 | Sharita Montiez Hall | Social Worker | 300 68th Street Se, Grand Rapids, MI 49548 | 2006-10-03 |
| Find all providers in zip 49548 | ||||
| Taxonomy Code | 261QS0112X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497317705 | Albert J Wesley D D S PC | Clinic/Center | 511 Olde Towne Road #81907, Rochester, MI 48308 | 2019-07-08 |
| 1124540240 | Central Michigan Group | Clinic/Center | 231 W Lake Lansing Rd Ste 200, East Lansing, MI 48823-8451 | 2017-07-11 |
| 1619322526 | Michigan Maxillofacial Surgery & Implants PC | Clinic/Center | 5150 Fashion Square Blvd, Saginaw, MI 48604-9434 | 2016-04-28 |
| 1679075782 | Gd Surgeons Pllc | Clinic/Center | 23895 Novi Rd Ste 500, Novi, MI 48375-0202 | 2018-03-05 |
| 1366957862 | Gregg S Resnick Dds | Clinic/Center | 110 Arbor Ln, Alpena, MI 49707-1302 | 2017-12-06 |
| 1629422597 | Advanced Oral Surgery & Implant Center P.C. | Clinic/Center | 7200 Dan Hoey Rd, Suite A, Dexter, MI 48130-4201 | 2016-04-18 |
| 1124414800 | Cass A. Radecki, D.d.s., P.C. | Clinic/Center | 203 W Michigan Ave, Saline, MI 48176-1329 | 2015-04-09 |
| 1356782155 | Paul M. Flynn, Dds, PC | Clinic/Center | 4124 W St Joe Hwy, Lansing, MI 48917-5205 | 2013-07-10 |
| 1457523755 | Jeevaka Yapa Dds PC | Clinic/Center | 29425 Northwestern Hwy, Suite 330, Southfield, MI 48034-1080 | 2008-03-26 |
| 1497939607 | Detroit Receiving Hospital & University Health Center | Clinic/Center | 4201 Saint Antoine St, Detroit, MI 48201-2153 | 2007-12-24 |
| Find all providers with the same taxonomy | ||||
| City | GRAND RAPIDS |
| Zip Code | 49548 |
Please comment or provide details below to improve the information on GEORGE A CRIPPS DDS PC.
| 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.