Kitridge Anderson, DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

17375 Issued in MI

Legal business name

KITRIDGE ANDERSON, DDS PC

Practice address

4080 Michigan Ave
Onaway, MI 49765-8852

Phone

(989) 733-8533

Fax

(989) 733-8533

NPI assigned

Jun 21, 2009

Last updated

Jun 21, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kitridge Gregory Anderson, D.D.S.NPI 1659467827

Title

President

Phone

(989) 733-8533

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kitridge Anderson, D.D.S.

  • General Practice Dentistry
  • Onaway, MI
  • NPI 1659467827
  Authorized official Same address or phone
• Emily F Hill, DDS

  • Dentist
  • Onaway, MI
  • NPI 1497316210
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245542400000",
    "number": "1154558898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4080 MICHIGAN AVE",
            "city": "ONAWAY",
            "state": "MI",
            "postal_code": "497658852",
            "telephone_number": "989-733-8533",
            "fax_number": "989-733-8533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4080 MICHIGAN AVE",
            "city": "ONAWAY",
            "state": "MI",
            "postal_code": "497658852",
            "telephone_number": "989-733-8533",
            "fax_number": "989-733-8533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KITRIDGE ANDERSON, DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-21",
        "last_updated": "2009-06-21",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "KITRIDGE",
        "authorized_official_middle_name": "GREGORY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "989-733-8533",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "17375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Great Lakes Medical Care Inc (great northern drug)
• Emily F Hill, DDS
• Barbara M Hoose, MSN FNP-C
• Walter Jacquemin, MD
• David Benjamin Michael Kazanowski, MD
• Shelby Jason Kucharek, LMSW
• Bryer McGinn
• Maureen Mitchell
• Mymichigan Medical Center Alpena
• Lindsay M Nowak, RDH

• General Practice Dentistry in Onaway, MI
• Providers in Onaway, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.