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PROFESSIONAL DENTAL ASSOCIATES PC
NPI 1750550109
Dentist - General Practice in Barryton, MI

Active since February 29, 2008
98 NORTHERN AVENUE, BARRYTON, MI 49305(989) 382-7227(989) 382-7227 Get Directions Write a Review

NPPES record last updated: February 29, 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 1750550109), doing business as Jensen Shroyer Anderson Pc, is a healthcare organization registered as a general practice in Barryton, Michigan and active in the NPI registry since February 2008. The organization lists Kevin T Mathewson, Dentist Owner, as its authorized official.

NPPES Registry Identity

NPI1750550109
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePROFESSIONAL DENTAL ASSOCIATES PC
Location Address98 NORTHERN AVENUEBarryton, MI 49305
Mailing Address98 Northern Avenue, Po Box 244Barryton, MI 49305 · (989) 382-7227 · Fax (989) 382-7227
Phone(989) 382-7227
Fax(989) 382-7227
Organization SubpartNo
Authorized OfficialKevin T MathewsonDentist Owner · (989) 382-7227
Enumeration DateFebruary 29, 2008
✔ NPI 1750550109 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.
98 NORTHERN AVENUE, Barryton, MI 49305
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Other Names 1

Former Legal Business NameJensen Shroyer Anderson Pc

Other Identifiers 1

Other8012370MI · Bc Bs

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

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 1750550109. It was assigned to this organization in the NPPES registry on February 29, 2008. The provider was formerly known as Jensen Shroyer Anderson PC.

Where is Professional Dental Associates PC located?

Professional Dental Associates PC is located at 98 Northern Avenue, Barryton, MI 49305. The listed phone number is (989) 382-7227.

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 February 29, 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.