Provider Demographics
NPI:1609134022
Name:COMFORT FAMILY DENTISTRY OF ZEELAND
Entity Type:Organization
Organization Name:COMFORT FAMILY DENTISTRY OF ZEELAND
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:K
Authorized Official - Last Name:TOTH
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:616-772-9898
Mailing Address - Street 1:156 E CHERRY AVE
Mailing Address - Street 2:
Mailing Address - City:ZEELAND
Mailing Address - State:MI
Mailing Address - Zip Code:49464-1724
Mailing Address - Country:US
Mailing Address - Phone:616-772-9898
Mailing Address - Fax:616-772-9915
Practice Address - Street 1:156 E CHERRY AVE
Practice Address - Street 2:
Practice Address - City:ZEELAND
Practice Address - State:MI
Practice Address - Zip Code:49464-1724
Practice Address - Country:US
Practice Address - Phone:616-772-9898
Practice Address - Fax:616-772-9915
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-24
Last Update Date:2012-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901019487261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental