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EAST BAY FAMILY DENTISTRY
NPI 1063149730
Clinic/Center - Dental in Traverse City, MI

Active since August 03, 2022
862 MUNSON AVE, TRAVERSE CITY, MI 49686(231) 946-4443(231) 932-2260 Get Directions Write a Review

NPPES record last updated: August 16, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 16, 2022, Aug 9, 2022, Aug 3, 2022 (3 updates tracked since 2022).

About East Bay Family Dentistry NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EAST BAY FAMILY DENTISTRY (NPI 1063149730) is a healthcare organization registered as a dental in Traverse City, Michigan and active in the NPI registry since August 2022. The organization lists Constance Rae Kuhlman, Manager, as its authorized official.

NPPES Registry Identity

NPI1063149730
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameEAST BAY FAMILY DENTISTRY
Location Address862 MUNSON AVETraverse City, MI 49686-3602
Mailing Address862 Munson AveTraverse City, MI 49686-3602 · (231) 946-4443 · Fax (231) 932-2260
Phone(231) 946-4443
Fax(231) 932-2260
Organization SubpartNo
Authorized OfficialConstance Rae KuhlmanManager · (231) 946-4443
Enumeration DateAugust 3, 2022
Last NPPES UpdateAugust 16, 20223 updates tracked since enumeration
NPPES CertifiedAugust 16, 2022
✔ NPI 1063149730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
862 MUNSON AVE, Traverse City, MI 49686
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Other Names 1

Other NameDr. Jan A Manning

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JAN ALEXANDRIA MANNING DDS
Dentist
862 MUNSON AVE
TRAVERSE CITY, MI 49686
Grand Traverse County (231) 946-4443

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is East Bay Family Dentistry's NPI number?

The NPI number for East Bay Family Dentistry is 1063149730. It was assigned to this organization in the NPPES registry on August 3, 2022. The provider is also known as Dr. Jan A Manning.

Where is East Bay Family Dentistry located?

East Bay Family Dentistry is located at 862 Munson Ave, Traverse City, MI 49686. The listed phone number is (231) 946-4443.

What is East Bay Family Dentistry's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for East Bay Family Dentistry was last updated on August 16, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.