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Active NPI 1114983509 Individual Practitioner Male Practitioner

Dr. Kamran A Qureshy , DDS

Dentist - General Practice • Brimley, MI

Professional Overview & Biography Verified Profile Summary

Dr. Kamran Qureshy, DDS is a registered healthcare professional specializing in Dentist - General Practice in Brimley, MI. Practice services are available at 12124 W LAKESHORE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12124 W Lakeshore Dr

Brimley, MI 497159319

Telephone 9062485579
Fax 9062485765
Associated Practice Facility / Clinic
🏢 Bay Mills Indian Community Facility NPI 1669692554

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Brimley, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.8 Yrs
Regional Practice Density
1 Specialists

Practicing in Brimley, MI (4360 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MI 2901017138

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Blue Cross Blue Shield
00D802025

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Lindsay Teeple , RDH

Dental Hygienist

NPI 1356830079

Registered Dental Hygienist

NPI 1558507723

Doctor of Osteopathic Medicine (D.O.)

NPI 1689082042

Master of Social Work, CADL

Julie Mckelvie , SW

Counselor - Addiction (Substance Use Disorder)

NPI 1689872533
Renee Johnson , LMSW

Social Worker - Clinical

NPI 1821297318

Licensed Master Social Worker

NPI 1952324436

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 12124 W LAKESHORE DR, BRIMLEY, MI 497159319 (Tel: 9062485579)

📍
Updated Business Mailing Address July 08, 2007

Registered at 12124 W LAKESHORE DR, PO BOX 138, BRIMLEY, MI 497159319 (Tel: 9062485579)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as KAMRAN QURESHY, D.D.S

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #2901017138 in MI)

🟢
Initial NPI Registration & Enumeration April 25, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114983509
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 25, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

12124 W Lakeshore Dr, Po Box 138

Brimley, MI 497159319

Phone: 9062485579

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.