Bailey Christine Klein, DMD
Individual provider Active NPI General Practice Dentistry · Kimball, MI
NPI 1780180117 · NPPES record last updated Apr 4, 2018
Key facts
- NPI
- 1780180117
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 2901022536 (MI)
- Practice address
- 4903 Willington Ave
Kimball, MI 48074-1554 - Phone
- (810) 841-8799
- NPI assigned
- Apr 4, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180806001662 | MI | Order and Referring Only - Dentist |
5597013649 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2901022536 | MI | Yes |
Addresses
Primary practice location
4903 Willington Ave
Kimball, MI 48074-1554
Mailing address
4903 Willington Ave
Kimball, MI 48074-1554
Phone (810) 841-8799
Other providers in Kimball, MI
- Audrey Christine Hollen
- Impact Chiropractic PC
- Gary A James
- Renee Jankowski
- Kimball Family Dental
- Sherri Ann Lester
- Christopher Mangin
- Mark a Topolewski OD and Associates PC
- Lena Matti
- Shelby McCormick
All providers in Kimball, MI · General Practice Dentistry 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 4, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.