DR. KRISTEN CHARLENE PONICHTER


Address: 7633 E Jefferson Ave, Detroit, MI 48214-3730
Phone: (313) 652-1600

DR. KRISTEN CHARLENE PONICHTER (NPI# 1821304858) 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) 1821304858
Entity Type Individual
Full Name DR. KRISTEN CHARLENE PONICHTER
Credential DMD
Practice Address 7633 E Jefferson Ave
Detroit
MI 48214-3730
Mailing Address 503 S Crooks Rd
Clawson
MI 48017-1816
Practice Telephone (313) 652-1600
Mailing Telephone 2484599525
Enumeration Date 2010-08-27
Last Update Date 2017-07-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0221X Dentist
Specialization: Pediatric Dentistry
2901020315 MI Dental Providers

Office Location

Street Address 7633 E JEFFERSON AVE
City DETROIT
State MI
Zip Code 48214-3730

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922097542 Steven P Hadesman Internal Medicine 7633 E Jefferson Ave, Suite 290, Detroit, MI 48214-3730 2005-10-17
1336675727 Nicholas Joseph Thomas Student in an Organized Health Care Education/Training Program 7633 E Jefferson Ave, Suite 70, Detroit, MI 48214-3730 2017-05-04
1629510482 Dds-tapestry Dentist 7633 E Jefferson Ave, Ste 200, Detroit, MI 48214-3730 2016-11-10
1144677501 Princess Elhosary Dentist 7633 E Jefferson Ave, Suite 70, Detroit, MI 48214-3730 2016-05-16
1427419688 Ashley D'agostini Student in an Organized Health Care Education/Training Program 7633 E Jefferson Ave, Suite 70, Detroit, MI 48214-3730 2016-03-16
1912383928 Dearborn Podiatry Clinic Pllc Podiatrist 7633 E Jefferson Ave, Suite 250, Detroit, MI 48214-3730 2015-08-03
1487037610 Samantha Dubin Student in an Organized Health Care Education/Training Program 7633 E Jefferson Ave, Suite 70, Detroit, MI 48214-3730 2015-07-07
1023415288 Bazzi Podiatry Podiatrist 7633 E Jefferson Ave, Suite 250, Detroit, MI 48214-3730 2014-12-03
1164829438 David Scott Coviak Dentist 7633 E Jefferson Ave, Suite 70, Detroit, MI 48214-3730 2014-12-02
1124428198 Matthew Cannavo Dentist 7633 E Jefferson Ave, Suite 70, Detroit, MI 48214-3730 2014-08-27
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1376042325 Tamara Wesley Registered Nurse 9000 E. Jefferson Apt 28-14, Detroit, MI 48214 2018-02-06
1720534381 Birth Beautiful Detroit Clinic/Center 1086 Baldwin, Detroit, MI 48214 2016-09-01
1225402886 Steven Doyle Whatley I Counselor 1423 Field Ave., Adult Well Being Services, Detroit, MI 48214 2015-11-19
1255587945 Andrew Avery Internal Medicine 7733 East Jefferson Ave, Detroit, MI 48214 2008-08-13
1639330210 Nicole Lashawn Greene Specialist 4533 St Clair St, Detroit, MI 48214 2008-06-17
1629299433 Alan R Faber Jr. Dentist 8191 E Jefferson Ave, Detroit, MI 48214 2007-05-01
1518188598 Mary F Bridges Psychiatry & Neurology 8120 East Jefferson #3l, Detroit, MI 48214 2007-05-01
1053439737 Geraldine Etella Davis Counselor 3840 Fairview St., Detroit, MI 48214 2007-03-27
1639203482 Detroit-macomb Hospital Corporation Advanced Practice Midwife 7815 E. Jefferson, Detroit, MI 48214 2007-03-15
1033275441 Anesha Amor Rouse Physical Therapy Assistant 7633 E. Jefferson Ave, Suite 170, Detroit, MI 48214 2006-12-29
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Taxonomy Information

Taxonomy Code 1223P0221X
Grouping Dental Providers
Classification Dentist
Specialization Pediatric Dentistry

Taxonomy Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669722856 Richard Iain Tann Dentist 79 W Alexandrine St Fl 3, Detroit, MI 48201-2015 2012-09-14
1093846974 Mona Rizk Ibrahim Dentist Detroit Health Dept. - Herman Kiefer Health Complex, 1151 Taylor Street, 7th Floor Pediatric Dental Clinic, Detroit, MI 48202-1732 2007-03-09
1801846985 James Patrick Stenger Dentist 79 W Alexandrine St, 3rd Floor, Detroit, MI 48201-2015 2006-05-11
1104482439 Childrens Dental Care of Detroit Dentist 430 Mack Ave, Detroit, MI 48201-2136 2019-05-13
1104307651 Fahad Siddiqui Dentist 2700 Martin Luther King Jr Blvd, Detroit, MI 48208-2576 2018-08-23
1992165930 Rehab Alabduljabbar Dentist 2700 Mlk Jr Blvd, Detroit, MI 48208-2576 2016-03-03
1851751150 Thomas Veraldi, Dmd Residency and Hospital Practice, PC Dentist 79 W Alexandrine St, 3rd Flr, Detroit, MI 48201-2015 2016-02-29
1215215298 Deliver Dental Solutions, Inc. Dentist 79 W Alexandrine St, 3rd Floor, Detroit, MI 48201-2015 2011-07-25

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1033717558 Discover Smiles Pediatric Dentistry Dentist 2277 Science Pkwy Ste 2, Okemos, MI 48864-2551 2020-10-16
1740898873 Megan E Stowers Dds Ms Plc Dentist 7459 Middlebelt Rd Ste 1, West Bloomfield, MI 48322-4184 2020-07-15
1447884069 Jocelyn M. Robelli Dds, Ms, Pllc Dentist 18245 E 10 Mile Rd Ste 110, Roseville, MI 48066-5807 2020-02-24
1457914038 Mitten Kids Dentistry Caledonia Plc Dentist 6477 Cherry Meadow Dr Se Ste 4, Caledonia, MI 49316-7351 2019-04-18
1780143982 Childrens Dental Specialists of Hazel Park Pllc Dentist 22241 John R Rd, Hazel Park, MI 48030-1716 2019-03-18
1487128120 Dental Group Associates PC Dentist 4505 Cascade Rd Se # B, Grand Rapids, MI 49546-8381 2019-01-16
1184194433 Pediatric Dental Specialists of West Michigan Dentist 2155 E Paris Ave Se Ste 120, Grand Rapids, MI 49546-6142 2018-11-29
1811465990 Kingma Pediatric Dentistry Pllc Dentist 1179 E Paris Ave Se Ste 130, Grand Rapids, MI 49546-3682 2018-11-07
1407322548 Great Lakes Bay Pediatric Dentistry, Plc Dentist 5605 Colony Dr N Ste 2, Saginaw, MI 48638-7187 2018-10-16
1063987725 Little Red Pediatric Dentistry, Plc Dentist 12723 N Bellwood Dr Ste 20, Holland, MI 49424-7275 2018-10-09
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Competitor

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City DETROIT
Zip Code 48214

Improve Information

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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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