Phares Family Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901017663 Issued in MI

Legal business name

PHARES FAMILY DENTISTRY

Practice address

291 W Lakewood Blvd
Holland, MI 49424-1969

Phone

(616) 396-7502

NPI assigned

Apr 3, 2007

Last updated

Aug 22, 2020By 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

Thomas Chase Phares, DDSNPI 1528189867

Title

Owner,Partner

Phone

(616) 396-7502

Specialties & licenses 1

Addresses

Practitioners 3

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.

• Thomas Chase Phares, DDS

  • General Practice Dentistry
  • Holland, MI
  • NPI 1528189867
  NPD (past) Authorized official
• Glenn A Hoort, DPM

  • Podiatrist
  • Holland, MI
  • NPI 1629138607
  NPD (past)
• Earl Knowles Phares Jr., DDS

  • General Practice Dentistry
  • Holland, MI
  • NPI 1295956423
  NPD (past)

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245351592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 W LAKEWOOD BLVD",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494241969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 W LAKEWOOD BLVD",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494241969",
            "telephone_number": "616-396-7502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARES FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PHARES",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "CHASE",
        "authorized_official_title_or_position": "OWNER,PARTNER",
        "authorized_official_telephone_number": "616-396-7502",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901017663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane Pettinga
• Stephen Pfahler, DC
• Thomas Provo Pfotenhauer Jr., D.O.
• Pgpa LLC (Holland Community Pharmacy)
• Dennis Hieu Pham, PHARMD
• Earl Knowles Phares Jr., DDS
• Thomas Chase Phares, DDS
• Roger Alan Phillips, MD
• Physiotherapy Associates Inc
• Physiotherapy Associates, Inc (Novacare Rehabilitation)

• General Practice Dentistry in Holland, MI
• Providers in Holland, 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 Aug 22, 2020; 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.