Organization · Type 2 NPI

Professional Dental Associates PC

General Practice Dentistry · Baldwin, MI

NPI number 1154592285 Active

Practice location

888 Michigan Ave
Baldwin, MI 49304

Call (231) 745-7231 Map

Fax (231) 745-7246

Mailing address

PO Box 152, 888 Michigan Ave
Baldwin, MI 49304

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	10102 (MI)
General Practice Dentistry	1223G0001X	16945 (MI)
General Practice Dentistry	1223G0001X	19296 (MA)

General Practice Dentistry: 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.

Other general practice dentistry providers in Baldwin

Baldwin Family Health CareGeneral Practice Dentistry Baldwin, MI NPI 1326411018

See all in Baldwin →

NPI record

NPI: 1154592285
Entity type: Organization (Type 2)
Issued: Mar 17, 2008
Last updated: Mar 17, 2008
Status: Active
Subpart: Yes of Professional Dental Associates PC

Other names

<unavail>
Jensen Shroger Anderson PC · former legal business name

Authorized official

Dr. Kevin T Mathewson, DDS
Dentist Owner
(231) 796-3571

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1154592285

Professional Dental Associates PC's National Provider Identifier is 1154592285, issued on Mar 17, 2008. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Baldwin, MI. The record was last updated on Mar 17, 2008.