Provider Demographics
NPI:1760862635
Name:KEMPEINEN DENTISTRY, P.C.
Entity Type:Organization
Organization Name:KEMPEINEN DENTISTRY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:ARTHUR
Authorized Official - Last Name:KEMPEINEN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:810-923-5909
Mailing Address - Street 1:1103 S CEDAR ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MASON
Mailing Address - State:MI
Mailing Address - Zip Code:48854-2081
Mailing Address - Country:US
Mailing Address - Phone:517-676-5900
Mailing Address - Fax:
Practice Address - Street 1:1103 S CEDAR ST
Practice Address - Street 2:SUITE 100
Practice Address - City:MASON
Practice Address - State:MI
Practice Address - Zip Code:48854-2081
Practice Address - Country:US
Practice Address - Phone:517-676-5900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-04
Last Update Date:2015-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901020401261QD0000X
MI2901020402261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental