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PROFESSIONAL DENTAL ASSOCIATES PC
NPI 1154592285
Dentist - General Practice in Baldwin, MI

Active since March 17, 2008
888 MICHIGAN AVE, BALDWIN, MI 49304(231) 745-7231(231) 745-7246 Get Directions Write a Review

NPPES record last updated: March 17, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Professional Dental Associates Pc NPPES

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

PROFESSIONAL DENTAL ASSOCIATES PC (NPI 1154592285), doing business as Jensen Shroger Anderson Pc, is a healthcare organization registered as a general practice in Baldwin, Michigan and active in the NPI registry since March 2008. The organization lists Kevin T Mathewson, Dentist Owner, as its authorized official.

NPPES Registry Identity

NPI1154592285
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePROFESSIONAL DENTAL ASSOCIATES PC
Location Address888 MICHIGAN AVEBaldwin, MI 49304
Mailing AddressPo Box 152, 888 Michigan AveBaldwin, MI 49304 · (231) 745-7231 · Fax (231) 745-7246
Phone(231) 745-7231
Fax(231) 745-7246
Organization SubpartYes
Authorized OfficialKevin T MathewsonDentist Owner · (231) 796-3571
Enumeration DateMarch 17, 2008
✔ NPI 1154592285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in MI · 10102✔ Licensed in MI · 16945✔ Licensed in MA · 19296
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
888 MICHIGAN AVE, Baldwin, MI 49304
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Other Names 1

Former Legal Business NameJensen Shroger Anderson Pc

Other Identifiers 2

Other8012380MI · Bcbs
Other2007556MI · Ucci

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Professional Dental Associates PC's NPI number?

The NPI number for Professional Dental Associates PC is 1154592285. It was assigned to this organization in the NPPES registry on March 17, 2008. The provider was formerly known as Jensen Shroger Anderson PC.

Where is Professional Dental Associates PC located?

Professional Dental Associates PC is located at 888 Michigan Ave, Baldwin, MI 49304. The listed phone number is (231) 745-7231.

What is Professional Dental Associates PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Professional Dental Associates PC was last updated on March 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.