Gary L Zoutendam DDS PC

Primary specialty

DentistTaxonomy code 122300000X

License

2901016510 Issued in MI

Legal business name

GARY L ZOUTENDAM DDS PC

Practice address

491 E. Columbia Ave
Suite 3
Battle Creek, MI 49014-5468

Phone

(269) 962-8505

Fax

(269) 962-9160

NPI assigned

Jan 13, 2012

Organization subpart

No

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

Authorized official

Name

Gary L Zoutendam

Title

Owner

Phone

(269) 962-8505

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1326412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326758400000",
    "number": "1639440233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "491 E. COLUMBIA AVE",
            "address_2": "SUITE 3",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490145468",
            "telephone_number": "269-962-8505",
            "fax_number": "269-962-9160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "491 E. COLUMBIA AVE",
            "address_2": "SUITE 3",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490145468",
            "telephone_number": "269-962-8505",
            "fax_number": "269-962-9160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY L ZOUTENDAM DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-13",
        "last_updated": "2012-01-17",
        "status": "A",
        "authorized_official_last_name": "ZOUTENDAM",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-962-8505"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901016510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2990454",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melanie Jane Gardner, L.M.S.W.
• Terrence Gardner
• Megan Garn, M.A.E, NCC,LMHC
• Kassia Garrett
• Andrea B Garver, M.S., R.D., CDCES
• Micaella Garza
• Gatu Afc
• Anne Gatu-Comeau
• Michaela Gatu
• Mark Gaut

• Dentist in Battle Creek, MI
• Providers in Battle Creek, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2012; 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.