MEDICARE: TARYNE MARIE KAVANAGH D.M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	2901022376	MI

General Provider Information

NPI Number	:	1962923557
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TARYNE MARIE KAVANAGH D.M.D.

Provider Business Mailing Address
First Line	:	2313 WOODLAND AVE
Second Line	:
City	:	ROYAL OAK
State	:	MI
Zip	:	48073-3878
Country	:	US
Telephone Number	:	810-824-0337
Fax Number	:

Provider Business Practice Location Address
First Line	:	21635 RYAN RD
Second Line	:
City	:	WARREN
State	:	MI
Zip	:	48091-2788
Country	:	US
Telephone Number	:	586-757-7540
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/04/2017
Last Update Date	:	10/01/2021

Similar Medicare Providers

1770848129 — BRADLEY DENTAL
Practice Location Address:

21635 RYAN RD
WARREN, MI
48091-2788

Practice Phone: 586-757-7540
Practice Fax:

1801345061 — GREAT LAKES FAMILY DENTAL GROUP-WARREN, P.C.
Practice Location Address:

21635 RYAN RD
WARREN, MI
48091-2788

Practice Phone: 810-230-2345
Practice Fax: 810-230-3229

1679213573 — 42 NORTH DENTAL CARE OF MICHIGAN, PLLC
Practice Location Address:

21635 RYAN RD
WARREN, MI
48091-2788

Practice Phone: 586-757-7540
Practice Fax:

1659171882 — NEW FARMINGTON GROUP DENTAL PLLC
Practice Location Address:

21635 RYAN RD
WARREN, MI
48091-2788

Practice Phone: 248-910-4819
Practice Fax:

1285592592 — MOVE ON PHYSICAL THERAPY
Practice Location Address:

25932 DEQUINDRE RD
WARREN, MI
48091-1071

Practice Phone: 586-256-3725
Practice Fax:

1376400150 — JAYEDA HOME CARE LLC
Practice Location Address:

22701 LOGUE AVE
WARREN, MI
48091-5261

Practice Phone: 347-942-0756
Practice Fax:

Directions to “ TARYNE MARIE KAVANAGH D.M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.