Meeuwsen Dental PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MEEUWSEN DENTAL PLLC

Doing business as

Ravenna Family Dentistry

Practice address

12374 Stafford St
Ravenna, MI 49451-5104

Phone

(231) 853-6618

Fax

(231) 853-8043

NPI assigned

Sep 3, 2014

Last updated

Sep 3, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Daniel Meeuwsen, DDSNPI 1609001296

Title

Managing Partner

Phone

(231) 853-6618

Specialties & licenses 1

Addresses

Other names 1

• Ravenna Family Dentistry Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daniel Paul Meeuwsen, D.D.S.

  • Dentist
  • Ravenna, MI
  • NPI 1609001296
  NPD (past) Authorized official

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

{
    "created_epoch": "1409702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409702400000",
    "number": "1922408434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12374 STAFFORD ST",
            "address_2": "PO BOX 204",
            "city": "RAVENNA",
            "state": "MI",
            "postal_code": "494515104",
            "telephone_number": "231-853-6618",
            "fax_number": "231-853-8043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12374 STAFFORD ST",
            "city": "RAVENNA",
            "state": "MI",
            "postal_code": "494515104",
            "telephone_number": "231-853-6618",
            "fax_number": "231-853-8043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEEUWSEN DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-03",
        "last_updated": "2014-09-03",
        "status": "A",
        "authorized_official_last_name": "MEEUWSEN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "231-853-6618",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ravenna Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karla Gossens, MA, LPC
• Hackley Community Care Center, Inc (Ravenna Middle School)
• Hometown Pharmacy Inc (HomeTown Pharmacy #33)
• Summer Little
• Carla Renee Martin
• Anne Elaine Meeuwsen, D.D.S.
• Daniel Paul Meeuwsen, D.D.S.
• Missi's Place Counseling, PLLC
• Bonnie Jean Pline, D.O.
• Kyle Stanley Pline, DO

• Dental Clinic/Center in Ravenna, MI
• Providers in Ravenna, 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 Sep 3, 2014; 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.