# KALAMAZOO COUNTY GOVERNMENT DENTAL CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** COUNTY OF KALAMAZOO HEALTH & COMMUNITY SERVICES
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1720271554
- **Legal business name:** COUNTY OF KALAMAZOO HEALTH & COMMUNITY SERVICES
- **Authorized official:** DOUGLAS HOMNICK MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (269) 373-5261

## Contact information

- **Practice address:** 3299 GULL RD, KALAMAZOO, MI 49048-1281
- **Practice address phone:** (269) 373-5259
- **Practice address fax:** (269) 373-5292
- **Mailing address:** PO BOX 42, NAZARETH, MI 49074-0042
- **Mailing address phone:** (269) 373-5200
- **Mailing address fax:** (269) 373-5363

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 08/24/2007
- **Last updated:** 04/15/2011