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Active NPI 1790308492 Individual Practitioner Male Practitioner

Dr. Evan David Ouderkirk , DDS

Dentist - General Practice • Grand Ledge, MI

Professional Overview & Biography Verified Profile Summary

Dr. Evan Ouderkirk, DDS is a registered healthcare professional specializing in Dentist - General Practice in Grand Ledge, MI. Practice services are available at 11970 SWEETWATER DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11970 Sweetwater Dr

Grand Ledge, MI 488378199

Telephone 5176272470
Associated Practice Facility / Clinic
🏢 Scott T Stevenson Dds Pllc Facility NPI 1770180523

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Grand Ledge, MI

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

Practicing in Grand Ledge, 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

CMS Verified: 2020-06-10
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MI 2901600514APP20

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.

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1891746715

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active May 28, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location May 28, 2020

Registered at 11970 SWEETWATER DR, GRAND LEDGE, MI 488378199 (Tel: 5176272470)

📍
Updated Business Mailing Address May 28, 2020

Registered at 1028 GRENOBLE CIR, LANSING, MI 489174811

👤
Provider Name / Credentials Updated May 28, 2020

Recorded as EVAN OUDERKIRK, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 28, 2020

Dentist (License #2901600514APP20 in MI)

🟢
Initial NPI Registration & Enumeration May 28, 2020

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: 1790308492
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 28, 2020
Last Update: June 10, 2020
Sole Proprietor: No

Mailing Address

1028 Grenoble Cir

Lansing, MI 489174811

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.