PINE RIVER DENTAL CARE
NPI 1295986479
Dentist - General Practice in Ithaca, MI

Active since October 06, 2008
610 N PINE RIVER ST, ITHACA, MI 48847(989) 875-2888(989) 875-4604 Get Directions Write a Review

NPPES record last updated: August 21, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pine River Dental Care NPPES

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

PINE RIVER DENTAL CARE (NPI 1295986479) is a healthcare organization registered as a general practice in Ithaca, Michigan and active in the NPI registry since October 2008. The organization lists Dale A Nester, Owner, as its authorized official.

NPPES Registry Identity

NPI1295986479
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePINE RIVER DENTAL CARE
Location Address610 N PINE RIVER STIthaca, MI 48847-1167
Mailing Address610 N Pine River StIthaca, MI 48847-1167 · (989) 875-2888 · Fax (989) 875-4604
Fax(989) 875-4604
Organization SubpartNo
Authorized OfficialDale A NesterOwner · (989) 875-2888
Enumeration DateOctober 6, 2008
Last NPPES UpdateAugust 21, 2013
NPI 1295986479 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 · 12204 Licensed in MI · 14779
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.
610 N PINE RIVER ST, Ithaca, MI 48847

Other Identifiers 1

Medicaid1519621MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

Dentist (General Practice)
610 N PINE RIVER ST
ITHACA, MI 48847
Dentist (General Practice)
610 N PINE RIVER ST
ITHACA, MI 48847
Dentist (General Practice)
610 N PINE RIVER ST
ITHACA, MI 48847
Dentist (General Practice)
610 N PINE RIVER ST
ITHACA, MI 48847

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 Pine River Dental Care's NPI number?

The NPI number for Pine River Dental Care is 1295986479. It was assigned to this organization in the NPPES registry on October 6, 2008.

Where is Pine River Dental Care located?

Pine River Dental Care is located at 610 N Pine River St, Ithaca, MI 48847. The listed phone number is (989) 875-2888.

What is Pine River Dental Care'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 Pine River Dental Care was last updated on August 21, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.