Healthcare Provider Details
I. General information
NPI: 1447603899
Provider Name (Legal Business Name): DAWN M KURAS, DDS, PLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/21/2016
Last Update Date: 04/10/2023
Certification Date: 04/10/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6259 GRAND RIVER RD.
BRIGHTON MI
48114
US
IV. Provider business mailing address
6259 GRAND RIVER RD.
BRIGHTON MI
48114
US
V. Phone/Fax
- Phone: 810-227-2744
- Fax: 810-227-2908
- Phone: 810-227-2744
- Fax: 810-227-2908
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1223G0001X |
| Taxonomy | General Practice Dentistry |
| License Number | 2901020947 |
| License Number State | MI |
VIII. Authorized Official
Name: DR.
DUSTIN
JOHN
KURAS
Title or Position: CHIEF OPERATION OFFICER
Credential:
Phone: 810-227-2744