# KEVIN A. COE D.D.S., PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477560043
- **Authorized official:** DR. KEVIN ANDREW COE D.D.S. (DENTIST)
- **Authorized official phone:** (616) 281-3020

## Contact information

- **Practice address:** 4760 KALAMAZOO AVE SE, KENTWOOD, MI 49508-4628
- **Practice address phone:** (616) 281-3020
- **Practice address fax:** (616) 281-6110
- **Mailing address:** 817 CHIPPEWA DR SE, GRAND RAPIDS, MI 49506-3319
- **Mailing address phone:** (616) 283-0170

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 2901018440 | MI | Yes |

## Other

- **Enumeration date:** 08/03/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | D184400 | BCBS ID \# | MI |