Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1902367584 Individual Practitioner Female Practitioner

Dr. Marla Ketty Fleming , DMD

Dentist • Jenison, MI

Professional Overview & Biography Verified Profile Summary

Dr. Marla Fleming, DMD is a registered healthcare professional specializing in Dentist in Jenison, MI. Practice services are available at 2064 BALDWIN ST STE A under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2064 Baldwin St Ste A

Jenison, MI 494288773

Telephone 6162290269

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Jenison, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.7 Yrs
Regional Practice Density
15 Specialists

Practicing in Jenison, MI (3647 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: 2020-08-05
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License MI 2901600924

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Secondary Practice Locations

2020 Division Ave S

Grand Rapids, MI 495073029

Phone: 6162290049

Practice Associates & Co-Workers

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

2 Associated Practitioners
NPI 1083459135

Doctor of Dental Surgery

Dr. Mark Brunner , DDS

Dentist - Periodontics

NPI 1891714135

Doctor of Dental Surgery

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Practice Location June 10, 2022

Registered at 2064 BALDWIN ST STE A, JENISON, MI 494288773 (Tel: 6162290269)

📍
Updated Business Mailing Address June 10, 2022

Registered at 600 UNION AVE SE UNIT 1, GRAND RAPIDS, MI 495035428 (Tel: 8572103146)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 10, 2022

Student in an Organized Health Care Education/Training Program

📍
Updated Practice Location August 04, 2020

Registered at 4550 3RD AVE SE, LACEY, WA 985031033 (Tel: 8554336825)

📍
Updated Business Mailing Address August 04, 2020

Registered at 6950 NE CAMPUS WAY, HILLSBORO, OR 971245611 (Tel: 8554336825)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 12, 2019

Dentist (License #DR60952837 in WA)

NPI Profile Active March 27, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location March 27, 2019

Registered at UNIVERSITY OF WASHINGTON DEPARTMENT OF ORAL SURGERY, 1959 NE PACIFIC STREET, SEATTLE, WA 98195 (Tel: 8572103146)

📍
Updated Business Mailing Address March 27, 2019

Registered at UNIVERSITY OF WASHINGTON DEPARTMENT OF ORAL SURGERY, 1959 NE PACIFIC STREET; BOX 357134, SEATTLE, WA 98195 (Tel: 8572103146)

👤
Provider Name / Credentials Updated March 27, 2019

Recorded as MARLA FLEMING, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 27, 2019

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 27, 2019

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: 1902367584
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 27, 2019
Last Update: June 10, 2022
Sole Proprietor: No

Mailing Address

600 Union Ave Se Unit 1

Grand Rapids, MI 495035428

Phone: 8572103146

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.