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Professional Dental Associates PC

General Practice Dentistry in Big Rapids, MI · enumerated 2006 · authorized official Kevin Mathewson, Dentist Owner.

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

National Provider Identifier

1992863401

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Registry record

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
Fax (231) 796-2211
Enumeration date Dec 5, 2006
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers · License 2901019404 (MI) Secondary
1223G0001X General Practice Dentistry Dental Providers · License 2901010102 (MI) Secondary
1223G0001X General Practice Dentistry Dental Providers · License 2901016945 (MI) Primary
1223G0001X General Practice Dentistry Dental Providers · License 2901019403 (MI) Secondary

Authorized official

Name Kevin Mathewson
Title Dentist Owner

Other identifiers

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

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.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.