Michael Scott Hestwood, DDS
Individual provider Active NPI General Practice Dentistry · Addison, MI
NPI 1144436627 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1144436627
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 2901015611-1818345 (MI)
- Practice address
- 431 N Steer St
Addison, MI 49220-9409 - Phone
- (517) 547-6146
- Fax
- (517) 547-6147
- NPI assigned
- May 14, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160908001186 | MI | Order and Referring Only - Oral Surgery |
2062708688 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2901015611-1818345 | MI | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael S. Hestwood, D.D.S., P.C. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2901015611-1818345 | MI | Yes |
Addresses
Primary practice location
431 N Steer St
Addison, MI 49220-9409
Mailing address
431 N Steer St
PO Box 299
Addison, MI 49220-9409
Phone (517) 547-6146
Other providers in Addison, MI
- Family Medical Center of Michigan,Inc
- Monica Flores
- Kimberly Kay Griewahn
- Douglas Eric Heidbreder
- Karol L Heidbreder
- Hi-5 Inc
- Life'S Resources Inc.
- Michael S. Hestwood, D.D.S., P.C.
- Morning and Night Home Care LLC
- Luann Samantha Newman
All providers in Addison, MI · General Practice Dentistry in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.