Individual provider · Type 1 NPI
Gadia Kumunjun Peabody, DDS
Prosthodontics · Muskegon, MI
NPI number
1457570863
Active
Practice location
2201 S Getty St
Muskegon, MI 49444-1207
Fax (231) 737-1808
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthodontics | 1223P0700X | 63907 (CA) |
| General Practice Dentistry | 1223G0001X | 019026130 (IL) |
| Prosthodontics Primary | 1223P0700X | 2901011507 (MI) |
Prosthodontics: That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
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About NPI 1457570863
Gadia Kumunjun Peabody, DDS's National Provider Identifier is 1457570863, issued on Apr 24, 2007. The primary taxonomy on file is Prosthodontics (1223P0700X), and the practice location is in Muskegon, MI. The record was last updated on Dec 6, 2016.