Elizabeth Vinckier Kersten DDS PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ELIZABETH VINCKIER KERSTEN DDS PLLC

Practice address

4309 Capac Rd
Mussey, MI 48014-3186

Phone

(810) 395-2100

Fax

(810) 395-2100

NPI assigned

Jun 20, 2019

Last updated

Jun 20, 2019By 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. Elizabeth Vinckier Kersten, DDS

Title

Owner

Phone

(810) 304-0258

Specialties & licenses 1

Addresses

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.

• Thomas Joseph Horgan, DDS

  • General Practice Dentistry
  • Mussey, MI
  • NPI 1093769481
  NPD (past)

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

{
    "created_epoch": "1560988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560988800000",
    "number": "1932769064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4309 CAPAC RD",
            "city": "MUSSEY",
            "state": "MI",
            "postal_code": "480143186",
            "telephone_number": "810-395-2100",
            "fax_number": "810-395-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4309 CAPAC RD",
            "city": "MUSSEY",
            "state": "MI",
            "postal_code": "480143186",
            "telephone_number": "810-395-2100",
            "fax_number": "810-395-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH VINCKIER KERSTEN DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-20",
        "last_updated": "2019-06-20",
        "status": "A",
        "authorized_official_last_name": "KERSTEN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "VINCKIER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-304-0258",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Capac Medical Center P C
• Sue Demianenko
• Janet Doolan, BS, BA
• Ehardt's Pharmacy Incorporated (Ehardt's Pharmacy - Capac)
• Nichole M Harrington
• Healthstat Onsite Clinic Keihin Capac
• Thomas Joseph Horgan, DDS
• Tammy Justice
• Amanda A Kahl, NP

• Dental Clinic/Center in Mussey, MI
• Providers in Mussey, 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 Jun 20, 2019; 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.