| Carepoint Dental Anesthesia Group Of Michigan, Pllc | |
| 
					1179 E Paris Ave Se Ste 130 Grand Rapids MI 49546-3682  | |
| (616) 226-1370 | |
| (616) 327-6370 | 
| Full Name | Carepoint Dental Anesthesia Group Of Michigan, Pllc | 
|---|---|
| Speciality | Dentist - Dentist Anesthesiologist | 
| Location | 1179 E Paris Ave Se Ste 130, Grand Rapids, Michigan | 
| Authorized Official Name and Position | Joshua Jackstien (OWNER/MANAGING PARTNER) | 
| Authorized Official Contact | 7204143611 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Carepoint Dental Anesthesia Group Of Michigan, Pllc 8301 E Prentice Ave Ste 215 Greenwood Village CO 80111-2990 Ph: (720) 606-4220  | Carepoint Dental Anesthesia Group Of Michigan, Pllc 1179 E Paris Ave Se Ste 130 Grand Rapids MI 49546-3682 Ph: (616) 226-1370  | 
| NPI Number | 1487262820 | 
|---|---|
| Provider Enumeration Date | 07/22/2020 | 
| Last Update Date | 04/25/2022 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1487262820 | NPI | - | NPPES | 
| 13430734 | Medicaid | CO | |
| 1750728119 | Other | HEALTHY KIDS | |
| 9000193309 | Medicaid | CO | |
| 41489268 | Medicaid | CO | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223D0004X | Dentist - Dentist Anesthesiologist | (* (Not Available)) | Primary | 
W&w Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2000 43rd St Se, Suite C, Grand Rapids, MI 49508 Phone: 616-455-4108  | |
Karen A O Rourke Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4250 Kalamazoo Se Ste 1, Grand Rapids, MI 49508 Phone: 616-455-7930 Fax: 616-455-9952  | |
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Oral Surgery Associates, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2144 E Paris Ave Se Ste 150, Grand Rapids, MI 49546 Phone: 616-942-2000 Fax: 616-942-6805  | |
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