Kowalski Dental, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

KOWALSKI DENTAL, PLLC

Doing business as

44th Street Dental

Practice address

2450 44TH Street SE, St 203
Kentwood, MI 49512

Phone

(810) 623-2747

NPI assigned

Apr 20, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Evan Joseph Kowalski, DDS

Title

Member

Phone

(810) 623-2747

Specialties & licenses 1

Addresses

Other names 1

• 44th Street Dental Doing business as

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

{
    "created_epoch": "1681948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729987200000",
    "number": "1356038392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 44TH STREET SE, ST 203",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "49512",
            "telephone_number": "810-623-2747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 44TH STREET SE, ST 203",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "49512",
            "telephone_number": "810-623-2747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOWALSKI DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-20",
        "last_updated": "2024-10-27",
        "certification_date": "2024-10-27",
        "status": "A",
        "authorized_official_last_name": "KOWALSKI",
        "authorized_official_first_name": "EVAN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "810-623-2747",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "44th Street Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "44th Street Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hannah Koogler
• Rachael Kool
• Melissa Lynn Koster
• Chepchumba C Kottutt
• Jordan Kotwicki
• Jordan Marie Kramer
• Gabrielle Krause
• Tammy Jo Kretowicz
• Jonathan Krieger, MD
• Clara Kroll

• General Practice Dentistry in Kentwood, MI
• Providers in Kentwood, 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 Oct 27, 2024; 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.