Organization
CAREPOINT DENTAL ANESTHESIA GROUP OF MICHIGAN, PLLC
Active
Other names
CarePoint Anesthesia Group of Michigan, LLC, CarePoint Dental Anesthesia Group of Michigan, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSHUA JACKSTIEN DMD (OWNER/MANAGING PARTNER)
(720) 414-3611
Entity
Organization
Contact information
Practice address
1179 E PARIS AVE SE STE 130, GRAND RAPIDS, MI 49546-3682
(616) 226-1370
(616) 327-6370
Mailing address
8301 E PRENTICE AVE STE 215, GREENWOOD VILLAGE, CO 80111-2990
(720) 606-4220
(720) 606-2594
Taxonomy
Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13430734
—
CO
01
—
1750728119
HEALTHY KIDS
—
05
—
41489268
—
CO
05
—
9000193309
—
CO
Enumeration date
07/22/2020
Last updated
04/25/2022
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