Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Professional Dental Associates PC

Organization General Practice Dentistry · NPI 1992863401

Professional Dental Associates PC is a General Practice Dentistry in Big Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
Specialties on file
4
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

415 S State St
Big Rapids, MI 49307-2049
Phone: (231) 796-3571
Fax: (231) 796-2211
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 2901016945 (MI)
General Practice Dentistry Taxonomy 1223G0001X · Licence 2901019404 (MI)
General Practice Dentistry Taxonomy 1223G0001X · Licence 2901010102 (MI)
General Practice Dentistry Taxonomy 1223G0001X · Licence 2901019403 (MI)

Record details

NPI number1992863401
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Mathewson — Dentist Owner · (231) 796-3571
Other names Jensen Shroyer Anderson Pc
NPI enumeratedDecember 5, 2006
Last updated in NPPESAugust 22, 2020
Mailing address415 South State Street, Big Rapids, MI 49307-2049

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