Provider Demographics
NPI:1184020331
Name:HARBOR HILLS, PLC
Entity Type:Organization
Organization Name:HARBOR HILLS, PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KRISTEN
Authorized Official - Middle Name:
Authorized Official - Last Name:VELTEMA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:616-896-7600
Mailing Address - Street 1:3185 CORPORATE GROVE DR
Mailing Address - Street 2:STE A
Mailing Address - City:HUDSONVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:49426-8021
Mailing Address - Country:US
Mailing Address - Phone:616-896-7600
Mailing Address - Fax:
Practice Address - Street 1:3185 CORPORATE GROVE DR
Practice Address - Street 2:STE A
Practice Address - City:HUDSONVILLE
Practice Address - State:MI
Practice Address - Zip Code:49426-8021
Practice Address - Country:US
Practice Address - Phone:616-896-7600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-17
Last Update Date:2016-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010202761223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty