Opalescence Dental Partners PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

OPALESCENCE DENTAL PARTNERS PLLC

Practice address

7070 Stadium Dr
Kalamazoo, MI 49009-6272

Phone

(269) 375-2856

NPI assigned

May 14, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Jackson Whitcomb, DDSNPI 1295387538

Title

Owner

Phone

(269) 375-2856

Specialties & licenses 1

Addresses

Other names 1

• Opalescence Dental Doing business as

Locations

Practitioners 2

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

• Jackson J Whitcomb, DDS

  • Dentist
  • Kalamazoo, MI
  • NPI 1295387538
  NPD Authorized official
• Keith Ray Konvalinka, DDS

  • Dentist
  • Kalamazoo, MI
  • NPI 1275538662
  NPD (past)

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

{
    "created_epoch": "1715644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715644800000",
    "number": "1467201418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7070 STADIUM DR",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490096272",
            "telephone_number": "269-375-2856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7070 STADIUM DR",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490096272",
            "telephone_number": "269-375-2856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPALESCENCE DENTAL PARTNERS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-14",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A",
        "authorized_official_last_name": "WHITCOMB",
        "authorized_official_first_name": "JACKSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-375-2856",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Opalescence Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thomas Onderlinde, PA-C
• One Breath Holistic Counseling LLC
• Leonard T Oneill, MD
• Online Care Solutions PLC
• Than N Oo, MD
• Sherry L Opalka, LMSW AND LPC
• Jennifer S Opdycke, PAC
• Elizabeth Opiela
• Wycliffe Opiyo
• Alexandra Oprescu

• Dental Clinic/Center in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Dental Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.