# KEITH A COMBS DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Family Dental Assoc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932269248
- **Authorized official:** DR. KEITH ALAN COMBS DDS (OWNER PRESIDENT)
- **Authorized official phone:** (616) 878-1587

## Contact information

- **Practice address:** 2411 BYRON STATION DRIVE, BYRON CENTER, MI 49315-8002
- **Practice address phone:** (616) 878-1587
- **Practice address fax:** (616) 878-4730
- **Mailing address:** 2411 BYRON STATION DRIVE, BYRON CENTER, MI 49315-8002
- **Mailing address phone:** (616) 878-1587
- **Mailing address fax:** (616) 878-4730

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 158150 | MI | Yes |

## Other

- **Enumeration date:** 12/11/2006
- **Last updated:** 08/22/2020