person
Dr. Mark Edward Koonmen, DDS
Pediatric Dentist in Flint, Michigan
NPI 1326028044

Mark Edward Koonmen is a Pediatric Dentist based in Flint, MI and is specialized in Pediatric Dentistry. Mark Edward Koonmen practices in Flint, MI and has the professional credentials of DDS. The NPI Number for Mark Edward Koonmen is 1326028044 and holds a License No. 13770 (Michigan).

The current practice location address for Mark Edward Koonmen is 1122 S Linden Rd, Flint, MI and can be reached out via phone at 810-732-0640 and via fax at 810-732-2264. You can also correspond with Mark Edward Koonmen through the mailing address at 1122 S LINDEN RD, FLINT, MI - 48532-3437 (mailing address contact number: 810-732-0640).

Location: 1122 S Linden Rd, Flint, MI, 48532-3437
person
Provider Profile Details
NPI Number
1326028044
Provider Name
Mark Edward Koonmen
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1122 S Linden Rd, Flint, MI, 48532-3437
Phone Number
810-732-0640
Fax Number
810-732-2264
Provider Enumeration Date
01/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
J801645 01 MI BLUE CROSS AND BLUE SHIEL
1831730 05 MI
institution
Provider Business Practice Location Address Details
Address
1122 S Linden Rd
City
State
Zip
48532-3437
Phone Number
810-732-0640
Fax Number
810-732-2264
person
Provider Business Mailing Address Details
Address
1122 S Linden Rd
City
State
Zip
48532-3437
Phone Number
810-732-0640
Fax Number
810-732-2264
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
13770 (Michigan)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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