David Lawrence Aitken, BDS MS
Individual provider Active NPI Prosthodontics · Ada, MI
NPI 1750638995 · NPPES record last updated Aug 7, 2012
Key facts
- NPI
- 1750638995
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Prosthodontics 1223P0700X
- License
- 2901020600 (MI)
- Practice address
- 2021 Timber Point Dr SE
Ada, MI 49301-8323 - Phone
- (616) 676-6045
- NPI assigned
- Aug 7, 2012
- 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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2901020600 | MI | MD | Prosthodontist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 2901020600 | MI | Yes |
Addresses
Primary practice location
2021 Timber Point Dr SE
Ada, MI 49301-8323
Mailing address
2021 Timber Point Dr SE
Ada, MI 49301-8323
Phone (616) 676-6045
Other providers in Ada, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2012. 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.