Professional Dental Associates PC

Professional Dental Associates PC is a healthcare organization registered as General Practice Dentistry in Big Rapids, MI, holding Type 2 (organization) NPI 1992863401 since 2006. The authorized official on file is Kevin Mathewson, Dentist Owner.

✓ Active NPI ✓ Valid NPI checksum

NPI	1992863401
Entity type	Organization (Type 2)
Legal business name	Professional Dental Associates PC
Other name	<Unavail>
Practice address	415 SOUTH STATE STREET, Big Rapids, MI, 49307
Phone	2317963571
Fax	2317962211
Enumeration date	2006-12-05
Last updated in NPPES	2020-08-22

Authorized official

Name	Kevin Mathewson
Title	Dentist Owner
Phone	2317963571

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
1223G0001X	General Practice Dentistry	Secondary	2901019404	MI
1223G0001X	General Practice Dentistry	Secondary	2901010102	MI
1223G0001X	General Practice Dentistry	Secondary	2901019403	MI
1223G0001X	General Practice Dentistry	Primary	2901016945	MI

Other identifiers

Identifier	Type	State	Issuer
D8012370	Other	MI	BCBS
1883236	Other	MI	UNITED CONCORDIA
D802980	Other	MI	BCBS
D8012380	Other	MI	BCBS

Copy-ready billing details

Provider: Professional Dental Associates PC
NPI: 1992863401
Taxonomy: 1223G0001X (General Practice Dentistry)
Address: 415 SOUTH STATE STREET, Big Rapids, MI, 49307

Providers at this address

NPI	Name	Type	Specialty	Location
1912072919	Kevin Mathewson	Individual	General Practice Dentistry	Big Rapids, MI
1538237052	Edwin Anderson	Individual	General Practice Dentistry	Big Rapids, MI

Verify this record

Cross-check NPI 1992863401 against the authoritative CMS record: view Professional Dental Associates PC on the official NPPES registry .

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. Read the full guide or validate an NPI number.

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-08-22. Verify at npiregistry.cms.hhs.gov.

Where is Professional Dental Associates PC located?

The practice location on file with NPPES is in Big Rapids, MI.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.