is a Dental Clinic in Big Rapids, Michigan. It is located at 415 South State Street, Big Rapids, MI and its contact number is 231-796-3571. The authorized person for is Dr. Kevin Todd Mathewson
who is Dentist Owner of the clinic and their contact number is 231-796-3571. The primary license number for is 2901016945 (General Practice) in Michigan. Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Specialization:
General Practice Dentistry
Clinic Address:
415 South State Street, Big Rapids, Michigan, 49307-2049
Phone:
231-796-3571
Fax:
231-796-2211
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Kevin Todd Mathewson
Position:
Dentist Owner
Contact Number:
231-796-3571
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for clinic are as mentioned below.
NPI Number:
1992863401
NPI Enumeration Date:
05 Dec, 2006
NPI Last Update On:
22 Aug, 2020
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for are as mentioned below.
Specialization
License Number
State
Status
General Practice
2901016945
Michigan
Primary
General Practice
2901019404
Michigan
Secondary
General Practice
2901010102
Michigan
Secondary
General Practice
2901019403
Michigan
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
D8012370
Other
Michigan
Bcbs
1883236
Other
Michigan
United Concordia
D802980
Other
Michigan
Bcbs
D8012380
Other
Michigan
Bcbs
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
415 South State Street, Big Rapids, Michigan
Zip:
49307-2049
Phone Number:
231-796-3571
Fax Number:
231-796-2211
Patients can reach at 415 South State Street, Big Rapids, Michigan or can call to book an appointment on 231-796-3571. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 February, 2025.