Provider Demographics
NPI:1972676336
Name:PIKE, CATHERINE UYCO (DDS)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:UYCO
Last Name:PIKE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1406 EDINGTON ST
Mailing Address - Street 2:
Mailing Address - City:PORTAGE
Mailing Address - State:MI
Mailing Address - Zip Code:49024
Mailing Address - Country:US
Mailing Address - Phone:269-344-3855
Mailing Address - Fax:269-344-0265
Practice Address - Street 1:5102 LOVERS LANE
Practice Address - Street 2:
Practice Address - City:KALAMAZOE
Practice Address - State:MI
Practice Address - Zip Code:49002
Practice Address - Country:US
Practice Address - Phone:269-344-3855
Practice Address - Fax:269-344-0265
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MID16843122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist