Healthcare Provider Details

I. General information

NPI: 1295699692
Provider Name (Legal Business Name): KP DENTISTRY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2025
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1284 W GRAND RIVER AVE
WILLIAMSTON MI
48895-9374
US

IV. Provider business mailing address

1284 W GRAND RIVER AVE
WILLIAMSTON MI
48895-9374
US

V. Phone/Fax

Practice location:
  • Phone: 517-655-2993
  • Fax: 517-655-1380
Mailing address:
  • Phone: 517-655-2993
  • Fax: 517-655-1380

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. KRISTINA PALMER
Title or Position: OWNER
Credential: DDS
Phone: 517-420-4037