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NPI Code Detail

MEDICARE: DR. MICHAEL A VAN DER KUYP DDS.

MEDICARE: DR. MICHAEL A VAN DER KUYP DDS.
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
1122300000XDentist19222OH

General Provider Information

NPI Number : 1134482771
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL A VAN DER KUYP DDS.
Provider Business Mailing Address
First Line : 3455 GRANGER ROAD
Second Line :
City : AKRON
State : OH
Zip : 44333
Country : US
Telephone Number : 330-666-0035
Fax Number :
Provider Business Practice Location Address
First Line : 3455 GRANGER ROAD
Second Line :
City : AKRON
State : OH
Zip : 44333
Country : US
Telephone Number : 330-666-0035
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2012
Last Update Date : 12/14/2025

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