Dock Dental Kalamazoo PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

DOCK DENTAL KALAMAZOO PLLC

Practice address

2380 Health Dr SW Ste 230
Wyoming, MI 49519-9702

Phone

(616) 341-7701

NPI assigned

Jan 24, 2023

Organization subpart

No

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

Authorized official

Name

Carol Marie Guevara

Title

Insurance Coordinator

Phone

(616) 341-7701

Specialties & licenses 1

Addresses

Other names 1

• Smiles 2 Be Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cristian Ricardo Craciun Brutten, DDS

  • Pediatric Dentistry
  • Wyoming, MI
  • NPI 1689802613
  NPD

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

{
    "created_epoch": "1674518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674518400000",
    "number": "1184330201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2380 HEALTH DR SW STE 230",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495199702",
            "telephone_number": "616-341-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2380 HEALTH DR SW STE 230",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495199702",
            "telephone_number": "616-341-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCK DENTAL KALAMAZOO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-24",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A",
        "authorized_official_last_name": "GUEVARA",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "616-341-7701"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smiles 2 Be",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Beverly Dillon, OTR/L
• Devynn Dimeo
• Discover You Counseling LLC
• Holly N Dishnow, FNP
• James Anthony Ditaranto, PA-C
• Doctor of Chiropractic and Health Science PLLC
• Laurel Doherty, D.O.
• Crystal A Dole, PA-C
• Dakotah Jean Dombak
• Andrea Gabriela Done, DO

• Pediatric Dentistry in Wyoming, MI
• Providers in Wyoming, MI by specialty
• Pediatric Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; 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.