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NORTHERN MICHIGAN PEDIATRIC DENTISTRY
NPI 1275685265
Clinic/Center - Dental in Traverse City, MI

Active since January 18, 2007
4944 SKYVIEW CT, TRAVERSE CITY, MI 49684(231) 947-4566 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Northern Michigan Pediatric Dentistry NPPES

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

NORTHERN MICHIGAN PEDIATRIC DENTISTRY (NPI 1275685265) is a healthcare organization registered as a dental in Traverse City, Michigan and active in the NPI registry since January 2007. The organization lists James M Van Wingen, Dentist, as its authorized official.

NPPES Registry Identity

NPI1275685265
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameNORTHERN MICHIGAN PEDIATRIC DENTISTRY
Location Address4944 SKYVIEW CTTraverse City, MI 49684-7173
Mailing Address4944 Skyview CtTraverse City, MI 49684-7173 · (231) 947-4566
Phone(231) 947-4566
Organization SubpartNo
Authorized OfficialJames M Van WingenDentist · (231) 947-4566
Enumeration DateJanuary 18, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1275685265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in MI · 2901017484
4944 SKYVIEW CT, Traverse City, MI 49684
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Other Identifiers 2

Other4457700MI · Medicaid
OtherD158620MI · Blue Cross Blue Shield Mi

Other Providers at the Same Location NPPES 5

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

JOHN C. HALL, DDS, MS, PC
Dentist (Periodontics)
4944 SKYVIEW CT
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 946-2910
DR. JAMES MICHAEL VANWINGEN D.D.S., M.S.
Dentist (Pediatric Dentistry)
4944 SKYVIEW CT
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 947-4566
DR. MATTHEW CHARLES MANDEVILLE DDS
Dentist (Pediatric Dentistry)
4944 SKYVIEW CT
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 947-4566
FRANCESCA RACCA
Dentist (Periodontics)
4944 SKYVIEW CT
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 946-2910
DR. JOHN CHRISTOPHER HALL DDS MS
Dentist (Periodontics)
4944 SKYVIEW CT
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 946-2910

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 Northern Michigan Pediatric Dentistry's NPI number?

The NPI number for Northern Michigan Pediatric Dentistry is 1275685265. It was assigned to this organization in the NPPES registry on January 18, 2007.

Where is Northern Michigan Pediatric Dentistry located?

Northern Michigan Pediatric Dentistry is located at 4944 Skyview Ct, Traverse City, MI 49684. The listed phone number is (231) 947-4566.

What is Northern Michigan Pediatric 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 Northern Michigan Pediatric Dentistry was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.