Kurt William Hollweg, D.D.S.
Individual provider Active NPI Dentist · Armada, MI
NPI 1447424148 · NPPES record last updated Apr 15, 2008
Key facts
- NPI
- 1447424148
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 2901009752 (MI)
- Practice address
- 22905 W. Main St
Armada, MI 48005 - Phone
- (586) 784-9033
- Fax
- (586) 785-5644
- NPI assigned
- Apr 15, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 2901009752 | MI | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2901009752 | MI | Yes |
Addresses
Primary practice location
22905 W. Main St
Armada, MI 48005
Mailing address
22905 West Main Street
Box 571
Armada, MI 48005
Phone (586) 784-9033
Other providers in Armada, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 15, 2008. 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.