Provider Demographics
NPI:1174548606
Name:SCHABES, KURT E (DDS)
Entity type:Individual
Prefix:DR
First Name:KURT
Middle Name:E
Last Name:SCHABES
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9521 CONSERVATION ST NE
Mailing Address - Street 2:
Mailing Address - City:ADA
Mailing Address - State:MI
Mailing Address - Zip Code:49301-9752
Mailing Address - Country:US
Mailing Address - Phone:616-676-3291
Mailing Address - Fax:
Practice Address - Street 1:7210 HEADLEY SE
Practice Address - Street 2:
Practice Address - City:ADA
Practice Address - State:MI
Practice Address - Zip Code:49301
Practice Address - Country:US
Practice Address - Phone:616-676-2223
Practice Address - Fax:616-676-2887
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2014-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI140331223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI626486OtherPROVIDER ID
MI122911782Medicaid