KB Dental West Bloomfield

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

KB DENTAL WEST BLOOMFIELD

Practice address

6615 Commerce Rd Ste 100
West Bloomfield, MI 48324-2717

Phone

(248) 363-5600

NPI assigned

Jul 25, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Kristen Balutowicz, DDSNPI 1295056257

Title

President

Phone

(248) 363-5600

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Kristen Ann Balutowicz, DDS

  • Dentist
  • Troy, MI
  • NPI 1295056257
  NPD Authorized official

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

{
    "created_epoch": "1690243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690243200000",
    "number": "1841971694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6615 COMMERCE RD STE 100",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483242717",
            "telephone_number": "248-363-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6615 COMMERCE RD STE 100",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483242717",
            "telephone_number": "248-363-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KB DENTAL WEST BLOOMFIELD",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-25",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A",
        "authorized_official_last_name": "BALUTOWICZ",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-363-5600",
        "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": []
}

• Kay Watnick MD PC
• Jenna Kay, NP
• Kayak Counseling, LLC
• Jennifer Marie Kayayan
• Jyothi Kaza, RPH
• Anna Kebl
• Alexandra Kedzior
• Sabrina Kegley
• Melanie Keiffer, APRN
• Megan Lois Keller, OTR/L

• Dental Clinic/Center in West Bloomfield, MI
• Providers in West Bloomfield, 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 Jul 25, 2023; 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.