# KC DENTAL GROUP PLC

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

## Provider details

- **NPI number:** 1982409017
- **Authorized official:** SHERI MACDONALD (OFFICE MANAGER)
- **Authorized official phone:** (269) 467-9325

## Contact information

- **Practice address:** 664 E MAIN ST STE F, CENTREVILLE, MI 49032
- **Practice address phone:** (269) 467-9325
- **Practice address fax:** (269) 467-9095
- **Mailing address:** 664 E MAIN ST STE F, CENTREVILLE, MI 49032
- **Mailing address phone:** (269) 467-9325
- **Mailing address fax:** (269) 467-9095

## Taxonomy

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

## Other

- **Enumeration date:** 02/13/2025
- **Last updated:** 02/13/2025