# KINSER FAMILY DENTISTRY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Edmore Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255796892
- **Authorized official:** DR. SHAWN J KINSER DDS, PHD (OWNER, DENTIST)
- **Authorized official phone:** (616) 894-7703

## Contact information

- **Practice address:** 1315 E HOWARD CITY EDMORE RD, EDMORE, MI 48829-9737
- **Practice address phone:** (989) 427-3430
- **Practice address fax:** (989) 427-1204
- **Mailing address:** 1315 E HOWARD CITY EDMORE RD, EDMORE, MI 48829-9737
- **Mailing address phone:** (989) 427-3430
- **Mailing address fax:** (989) 427-1204

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 19830 | MI | Yes |

## Other

- **Enumeration date:** 12/28/2015
- **Last updated:** 12/28/2015