Provider Demographics
NPI:1841440724
Name:READY DENTAL PLLC
Entity type:Organization
Organization Name:READY DENTAL PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:TIMMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:616-796-3200
Mailing Address - Street 1:12662 RILEY ST
Mailing Address - Street 2:SUITE 130
Mailing Address - City:HOLLAND
Mailing Address - State:MI
Mailing Address - Zip Code:49424-8023
Mailing Address - Country:US
Mailing Address - Phone:616-796-3200
Mailing Address - Fax:616-796-3230
Practice Address - Street 1:12662 RILEY ST
Practice Address - Street 2:SUITE 130
Practice Address - City:HOLLAND
Practice Address - State:MI
Practice Address - Zip Code:49424-8023
Practice Address - Country:US
Practice Address - Phone:616-796-3200
Practice Address - Fax:616-796-3230
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-26
Last Update Date:2008-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI305S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service