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

Randy J Kovicak, DDS, PLLC

Organization Dentist · NPI 1528547668

Randy J Kovicak, DDS, PLLC is a Dentist in Norton Shores, Michigan. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

935 W Norton Ave Ste B
Norton Shores, MI 49441-4195
Phone: (231) 739-1300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1528547668
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrew Matta — Owner · (231) 739-1300
NPI enumeratedAugust 9, 2018
Last updated in NPPESAugust 9, 2018
Mailing address11 S Mill St Ste 200, New Castle, PA 16101-3680

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