Kathleen Ellsworth DDS PC
Organization Active NPI Dental Clinic/Center · Saranac, MI
NPI 1457092926 · NPPES record last updated Apr 7, 2022
Key facts
- NPI
- 1457092926
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dental Clinic/Center 261QD0000X
- Legal business name
- KATHLEEN ELLSWORTH DDS PC
- Practice address
- 60 N Bridge St
Saranac, MI 48881-5109 - Phone
- (616) 642-3500
- Fax
- (616) 642-3600
- NPI assigned
- Apr 6, 2022
- Organization subpart
- No
Authorized official
- Name
- Dr. Kathleen Ellsworth
- Title
- Dentist
- Phone
- (616) 642-3500
Practitioners 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Yes |
Addresses
Primary practice location
60 N Bridge St
Saranac, MI 48881-5109
Mailing address
PO Box 70
Saranac, MI 48881-0070
Phone (616) 642-3500
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Saranac | Health Information Exchange (HIE) |
Other providers in Saranac, MI
- Pamela J Gregorski
- Health Care for Today, PC
- Kristina Joanne Holmes
- John P McRee DDS PC
- Marie Denise Johnson
- Lisa Krikke
- Aaron J Kroemer
- Jessica Lindner
- Randy Erwin Masterson
- John Patrick McRee
All providers in Saranac, MI · Dental Clinic/Center in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 7, 2022. 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.