Organization
KEVIN A. COE D.D.S., PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN ANDREW COE D.D.S. (DENTIST)
(616) 281-3020
Entity
Organization
Contact information
Practice address
4760 KALAMAZOO AVE SE, KENTWOOD, MI 49508-4628
(616) 281-3020
(616) 281-6110
Mailing address
817 CHIPPEWA DR SE, GRAND RAPIDS, MI 49506-3319
(616) 283-0170
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901018440
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D184400
BCBS ID #
MI
Enumeration date
08/03/2006
Last updated
08/22/2020
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