Breanna Chew, DDS, MS
Individual provider Active NPI Orthodontics and Dentofacial Orthopedics Dentistry · Jenison, MI
NPI 1831592344 · NPPES record last updated Jan 6, 2022
Key facts
- NPI
- 1831592344
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
- License
- 2901021366 (MI)
- Practice address
- 2076 Baldwin St
Jenison, MI 49428-8772 - Phone
- (616) 457-5866
- NPI assigned
- Sep 29, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 2901021366 | MI | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mark LM Powell DDS MSD PC | Orthodontics and Dentofacial Orthopedics | Current |
Accepting new patients |
Locations
2076 Baldwin St
Jenison, MI 49428
Phone (616) 457-2710
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 2901021366 | MI | Yes |
Addresses
Primary practice location
2076 Baldwin St
Jenison, MI 49428-8772
Mailing address
2076 Baldwin St
Jenison, MI 49428-8772
Phone (616) 457-5866
Other providers in Jenison, MI
- Amber Carowick
- Ashley Case
- Mitchell Cavanaugh
- Lauren Nicole Charboneau
- Aaliyah Cherry
- Clark & Vanoverloop DDS PLLC
- Aaron Samuel Clark
- James G Clay
- Troy J Clink
- Margaret Cohen
All providers in Jenison, MI · Orthodontics and Dentofacial Orthopedics 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 Jan 6, 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.