Professional Dental Associates PC

NPI #1154592285 in Baldwin, Michigan

Provider Information

NPI Number: 1154592285
Entity Type: Organization
Organization Name: Professional Dental Associates PC
Subpart: Yes (part of a larger organization)
Parent Organization: PROFESSIONAL DENTAL ASSOCIATES PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 17, 2008
Last Updated: Mar 17, 2008

Practice Location

Address: 888 MICHIGAN AVE
City: Baldwin
State: Michigan
ZIP Code: 49304
Phone: (231) 745-7231

Authorized Official

Name: DR. KEVIN T MATHEWSON, DDS
Title: DENTIST OWNER
Phone: (231) 796-3571

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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