Dr. Kishawn Olasupo Kole-james is a Detroit, Michigan based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Kishawn Olasupo Kole-james is 19444 for Orthodontics and Dentofacial Orthopedics in Michigan. His current practice location is 1799 E Grand Blvd, Detroit. Patients can reach him at 313-282-5651.
Dr. Kishawn Olasupo Kole-james is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Kishawn Olasupo Kole-james speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Kishawn Olasupo Kole-james
Specialization:
Dentist
Gender:
Male
Credentials:
D.D.S
Accepts Medicare Assignment:
No
Practice Address:
1799 E Grand Blvd, Detroit, Michigan, 48211-3145
Phone:
313-282-5651
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 are as mentioned below.
NPI Number:
1073688818
NPI Enumeration Date:
21 Nov, 2006
NPI Last Update On:
30 Sep, 2022
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Kishawn Olasupo Kole-james are as mentioned below.
License Number
Specialization
State
Status
19444
Orthodontics and Dentofacial Orthopedics
Michigan
Primary
2901019444
General Practice Dentistry
Michigan
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Kishawn Olasupo Kole-james such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
4935200
Medicaid
Michigan
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 2879, Detroit, Michigan
Zip:
48202-0879
Phone Number:
313-282-5651
Patients can reach Dr. Kishawn Olasupo Kole-james at 1799 E Grand Blvd, Detroit, Michigan or can call to book an appointment on 313-282-5651. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.