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PRO DENTAL MI 1 PC
NPI 1326875600
Dentist - General Practice in Wyoming, MI

Active since September 19, 2024
1124 28TH ST SW, WYOMING, MI 49509(616) 530-9900(616) 530-9959 Get Directions Write a Review

NPPES record last updated: September 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pro Dental Mi 1 Pc NPPES

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

PRO DENTAL MI 1 PC (NPI 1326875600), doing business as Destiny Dental Of Wyoming, is a healthcare organization registered as a general practice in Wyoming, Michigan and active in the NPI registry since September 2024. The organization lists Simone Wilson-adeleke, Director Of Credentialing, as its authorized official.

NPPES Registry Identity

NPI1326875600
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePRO DENTAL MI 1 PC
Location Address1124 28TH ST SWWyoming, MI 49509-2855
Mailing Address10 Woodbridge Center Dr Ste 520Woodbridge, NJ 07095-1152 · (848) 326-8840
Phone(616) 530-9900
Fax(616) 530-9959
Organization SubpartNo
Authorized OfficialSimone Wilson-adelekeDirector Of Credentialing · (732) 731-8398
Enumeration DateSeptember 19, 2024
NPPES CertifiedSeptember 19, 2024
✔ NPI 1326875600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
1124 28TH ST SW, Wyoming, MI 49509
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Other Names 1

Doing Business AsDestiny Dental Of Wyoming

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Other Providers at the Same Location NPPES 8

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

MR. HAMZEH CHARAFEDDINE DDS
Dentist
1124 28TH ST SW
WYOMING, MI 49509
Kent County (616) 530-9900
DR. FEDEL NASSR ALI DDS
Dentist (General Practice)
1124 28TH ST SW
WYOMING, MI 49509
Kent County (616) 530-9900
DR. DUNYA MARTIN FERRIS DDS
Dentist (General Practice)
1124 28TH ST SW
WYOMING, MI 49509
Kent County (616) 530-9900
DR. BRIANNA BEATRICE SZYMANSKI DDS
Dentist
1124 28TH ST SW
WYOMING, MI 49509
Kent County (616) 530-9900
DR. MICHELLE L VANDYKE DDS
Dentist (General Practice)
1124 28TH ST SW
WYOMING, MI 49509
Kent County (616) 530-9900
DR. JENAN HEBA AL-HADIDI DMD
Dentist
1124 28TH ST SW
WYOMING, MI 49509
Kent County (616) 530-9900
HAMAZAH ALKAWASMIE
Dentist
1124 28TH ST SW
WYOMING, MI 49509
Kent County (616) 530-9900
D2 DENTAL OF MICHIGAN
Dentist (General Practice)
1124 28TH ST SW, SUITE 38A
WYOMING, MI 49509
Kent County (708) 386-4100

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 Pro Dental Mi 1 PC's NPI number?

The NPI number for Pro Dental Mi 1 PC is 1326875600. It was assigned to this organization in the NPPES registry on September 19, 2024. The provider is doing business as Destiny Dental of Wyoming.

Where is Pro Dental Mi 1 PC located?

Pro Dental Mi 1 PC is located at 1124 28th St SW, Wyoming, MI 49509. The listed phone number is (616) 530-9900.

What is Pro Dental Mi 1 PC's specialty?

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

What insurance does Pro Dental Mi 1 PC accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Pro Dental Mi 1 PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pro Dental Mi 1 PC was last updated on September 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.