Kenneth L Egger Jr DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901016479 Issued in MI

Legal business name

KENNETH L EGGER JR DDS PC

Practice address

900 E Bellows St
Mount Pleasant, MI 48858-3904

Phone

(989) 773-3560

Fax

(989) 773-9081

NPI assigned

Mar 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth L Egger Jr., DDSNPI 1114936754

Title

Owner President

Phone

(989) 773-3560

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

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

• Kenneth Leon Egger Jr., DDS

  • General Practice Dentistry
  • Mount Pleasant, MI
  • NPI 1114936754
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316063803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 E BELLOWS ST",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488583904",
            "telephone_number": "989-773-3560",
            "fax_number": "989-773-9081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E BELLOWS ST",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488583904",
            "telephone_number": "989-773-3560",
            "fax_number": "989-773-9081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH L EGGER JR DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EGGER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "989-773-3560",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901016479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kehres Health and Chiropractic
• Jill Sharline Keller
• Laura Keller, OD
• Alexis Lillian Kelley
• Jacob Raymond Kelley
• Wendy L Kent, AGAC, NP-BC
• Sydney Kephart
• Renee Lyn Kern, FNP-BC
• Elizabeth Kessinger
• Kelly Carmela Ketchum, MD

• General Practice Dentistry in Mount Pleasant, MI
• Providers in Mount Pleasant, 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.