Kimberly Perez, DDS
Individual provider Active NPI General Practice Dentistry · Grant, MI
NPI 1225920952 · NPPES record last updated Jul 17, 2025
Key facts
- NPI
- 1225920952
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 2901602744 (MI)
- Practice address
- 11 N Maple St
Grant, MI 49327-7900 - Phone
- (231) 834-9750
- Fax
- (231) 834-1459
- NPI assigned
- Jul 17, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2901602744 | MI | MD | General Practice Dentistry |
Interoperability endpoints
- kimberly.perez.p1@direct.bfhc.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2901602744 | MI | Yes |
Addresses
Primary practice location
11 N Maple St
Grant, MI 49327-7900
Mailing address
1615 Michigan Ave
Baldwin, MI 49304-7984
Phone (231) 745-5051
Other providers in Grant, MI
- Roberto Miller
- Newaygo County General Hospital Association
- Newaygo County General Hospital Association
- Heidi Parent-Leonard
- Nicole Marie Pastoor
- Robert Poehl
- Ray of Hope Counseling Services, PLLC
- Michelle Leigh Regan
- Conard Deverl Reyburn
- Lisa Kaye Ripka
All providers in Grant, 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 17, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.