Pediatric Dental Associates

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

PEDIATRIC DENTAL ASSOCIATES

Practice address

10407 Grand River Rd
600
Brighton, MI 48116-6532

Phone

(810) 227-9015

Fax

(810) 227-6940

NPI assigned

Sep 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kevin Joseph Hale, DDS

Title

President

Phone

(810) 227-9015

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190764800000",
    "number": "1306033188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10407 GRAND RIVER RD",
            "address_2": "600",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481166532",
            "telephone_number": "810-227-9015",
            "fax_number": "810-227-6940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10407 GRAND RIVER RD",
            "address_2": "600",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481166532",
            "telephone_number": "810-227-9015",
            "fax_number": "810-227-6940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2007-09-26",
        "status": "A",
        "authorized_official_last_name": "HALE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-227-9015",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Pearon, LLMSW, CADC
• Kieron Tye B Pearson
• Jessica J Peatee, PH.D.
• Jordyn Ann Peddie
• Pediatric Associates of Livingston, PLLC
• Maxine Pegram
• Caitlin Emily Peirce, M.D.
• Penny S. Baumeier DO PLLC
• People & Pets Pharmacy, LLC.
• Lyndsey Perez

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2007; 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.