GEORGE KIRBY (NPI# 1770846834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770846834 |
Entity Type | Individual |
Full Name | GEORGE KIRBY |
Credential | M.D, D.D.S. |
Practice Address |
601 Michigan Ave Ste 200 Holland MI 49423 |
Mailing Address |
6440 Oakridge Dr Holland MI 49423-8999 |
Practice Telephone | 6163922329 |
Practice Fax Number | 6163929610 |
Mailing Telephone | 9896214044 |
Enumeration Date | 2012-06-22 |
Last Update Date | 2018-08-09 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
2901020465 | MI | Dental Providers |
Address | Telephone Number | Fax Number |
---|---|---|
12662 Riley St Ste 130, Holland, MI 494248023 | 6167389900 | 6167383090 |
4330 44th St Sw, Grandville, MI 494182349 | 6165304710 | 6168426970 |
919 S Beechtree St Ste 8, Grand Haven, MI 494172384 | 6168445135 | 6168445181 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669755518 | George B. Kirby | Dentist | 1110 Euclid Ave, Suite 202, Cleveland, OH 44115-1623 | 2011-09-27 |
Street Address |
601 MICHIGAN AVE STE 200 |
City | HOLLAND |
State | MI |
Zip Code | 49423 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356996714 | Ella Rose Marx | Social Worker | 412 Century Lane, Holland, MI 49423 | 2019-08-02 |
1245720424 | Amanda Ann Allen | Behavior Technician | 165 Sorrento Drive, Holland, MI 49423 | 2018-05-14 |
1588194237 | Emily Amila Geurink | Physical Therapy Assistant | 4037 43rd St, Holland, MI 49423 | 2017-06-15 |
1285081737 | Kara Draayer | Nurse Anesthetist, Certified Registered | 25 W 8th St Ste 200, Holland, MI 49423 | 2016-05-14 |
1851776413 | Sara Ty | Occupational Therapist | 789 South Meadow Court, Holland, MI 49423 | 2015-07-24 |
1508243056 | Andrew Peasley | Chiropractor | 436 Century Ln., Holland, MI 49423 | 2015-05-05 |
1437536497 | Deborah Donnelly | Physical Therapy Assistant | 1221 16th Street, Holland, MI 49423 | 2015-04-29 |
1366846024 | John Nguyen | Pharmacist | 747 E 16th St, Holland, MI 49423 | 2014-10-09 |
1003257817 | Courtney Young | Social Worker | 96 W 15 Street Midtown Center- Arbor Circle, Holland, MI 49423 | 2013-07-09 |
1689014391 | Jason Pettet | Acupuncturist | 500 West 17th St., Holland, MI 49423 | 2013-06-26 |
Find all providers in zip 49423 |
Taxonomy Code | 1223S0112X |
Grouping | Dental Providers |
Classification | Dentist |
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 |
---|---|---|---|---|
1326197880 | West Michigan Oral and Maxillofacial Surgery PC | Dentist | 601 Michigan Ave, Suite 200, Holland, MI 49423-4951 | 2007-01-10 |
1649254707 | Clare Royce Van Wieren | Dentist | 601 Michigan Ave, Suite 200, Holland, MI 49423-4951 | 2005-12-02 |
1952384521 | Mark Joseph Lonergan | Dentist | 601 Michigan Ave, Suite 200, Holland, MI 49423-4951 | 2005-11-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568080414 | Shawn J Kim | Dentist | 425 E Washington St Apt 811, Ann Arbor, MI 48104-2060 | 2020-07-08 |
1760008528 | Great Lakes Oral and Maxillofacial Surgery P.C. | Dentist | 2325 Summit Park Dr Ste D, Petoskey, MI 49770-8774 | 2020-06-17 |
1962969634 | Garfield Road Dental - 1 | Dentist | 41781 Garfield Rd, Clinton Township, MI 48038-1964 | 2019-02-28 |
1477903904 | Abed Yakan | Dentist | 2700 Martin Luther King Jr. Blvd., 358, Detroit, MI 48208-2576 | 2016-06-15 |
1811378508 | Christopher Niquette | Dentist | 2119 64th Street Sw, Byron Center, MI 49315-4931 | 2015-06-18 |
1528446069 | Douglas David Orzel | Dentist | 9021 N Rodgers Ct Se Ste A, Caledonia, MI 49316-7650 | 2015-05-17 |
1013321165 | Raymond James Hanna | Dentist | 3766 Elder Rd S, West Bloomfield, MI 48324-2534 | 2014-06-17 |
1831536861 | Claude Charles Lerose Jr. | Dentist | 20675 Mack Ave, Grosse Pointe Woods, MI 48236 | 2013-05-31 |
1821433566 | Curtis Cardon | Dentist | 5957 Harvey St Ste 200, Norton Shores, MI 49444-9737 | 2013-05-08 |
1043568694 | Nick Leone Dds PC | Dentist | 28018 Harper Ave., St. Clair Shores, MI 48081-1562 | 2012-08-29 |
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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.