KATHLEEN M. EISIN, DDS MS PLLC
NPI 1619196060
Dentist - Periodontics in Grand Rapids, MI

Active since April 24, 2007
6677 CROSSINGS DRIVE SE, SUITE 3, GRAND RAPIDS, MI 49508(616) 656-0100(616) 656-0400 Get Directions Write a Review

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

About Kathleen M. Eisin, Dds Ms Pllc NPPES

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

KATHLEEN M. EISIN, DDS MS PLLC (NPI 1619196060) is a healthcare organization registered as a periodontics in Grand Rapids, Michigan and active in the NPI registry since April 2007. The organization lists Kathleen Eisin, Doctor President, as its authorized official.

NPPES Registry Identity

NPI1619196060
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameKATHLEEN M. EISIN, DDS MS PLLC
Location Address6677 CROSSINGS DRIVE SE, SUITE 3Grand Rapids, MI 49508
Mailing Address6677 Crossings Drive Se, Suite 3Grand Rapids, MI 49508 · (616) 656-0100 · Fax (616) 656-0400
Fax(616) 656-0400
Organization SubpartNo
Authorized OfficialKathleen EisinDoctor President · (616) 656-0100
Enumeration DateApril 24, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1619196060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
6677 CROSSINGS DRIVE SE, Grand Rapids, MI 49508

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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Dentist (Periodontics)
6677 CROSSINGS DRIVE SE, SUITE #3
GRAND RAPIDS, MI 49508

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 Kathleen M. Eisin, Dds Ms PLLC's NPI number?

The NPI number for Kathleen M. Eisin, Dds Ms PLLC is 1619196060. It was assigned to this organization in the NPPES registry on April 24, 2007.

Where is Kathleen M. Eisin, Dds Ms PLLC located?

Kathleen M. Eisin, Dds Ms PLLC is located at 6677 Crossings Drive SE Suite 3, Grand Rapids, MI 49508. The listed phone number is (616) 656-0100.

What is Kathleen M. Eisin, Dds Ms PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Kathleen M. Eisin, Dds Ms PLLC 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.