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Professional Dental Associates PC

General Practice Dentistry in Baldwin, MI · enumerated 2008 · authorized official Kevin Mathewson, Dentist Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1154592285

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Registry record

Entity type Organization (Type 2)
Legal business name Professional Dental Associates PC
Other name <Unavail>
Parent organization Professional Dental Associates PC
Practice address 888 Michigan Ave, Baldwin, MI, 49304
Phone (231) 745-7231
Fax (231) 745-7246
Enumeration date Mar 17, 2008
Last updated in NPPES Mar 17, 2008

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers · License 10102 (MI) Primary
1223G0001X General Practice Dentistry Dental Providers · License 16945 (MI) Secondary
1223G0001X General Practice Dentistry Dental Providers · License 19296 (MA) Secondary

Authorized official

Name Kevin Mathewson
Title Dentist Owner
Phone (231) 796-3571

Other identifiers

Identifier Type State Issuer
2007556 Other MI UCCI
8012380 Other MI BCBS

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Professional Dental Associates PC?
NPPES lists Kevin Mathewson (Dentist Owner) as the authorized official for this organization.
What is the NPI number for Professional Dental Associates PC?
The NPI for Professional Dental Associates PC is 1154592285, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-03-17.