MEDICARE: MRS. BONNY KAYE MATTHYSSE RDH

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	124Q00000X	Dental Hygienist	2902005277	MI

General Provider Information

NPI Number	:	1659514172
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. BONNY KAYE MATTHYSSE RDH

Provider Business Mailing Address
First Line	:	3185 CORPORATE GROVE DR
Second Line	:	SUITE A
City	:	HUDSONVILLE
State	:	MI
Zip	:	49426-8021
Country	:	US
Telephone Number	:	606-896-7600
Fax Number	:	616-896-8724

Provider Business Practice Location Address
First Line	:	3185 CORPORATE GROVE DR
Second Line	:	SUITE A
City	:	HUDSONVILLE
State	:	MI
Zip	:	49426-8021
Country	:	US
Telephone Number	:	606-896-7600
Fax Number	:	616-896-8724

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

Provider Enumeration Date	:	04/14/2009
Last Update Date	:	04/14/2009

Similar Medicare Providers

1881822849 — DR. KRISTEN MARIE VELTEMA D.M.D.
Practice Location Address:

3185 CORPORATE GROVE DR , STE A
HUDSONVILLE, MI
49426-8021

Practice Phone: 616-550-8848
Practice Fax:

1184020331 — HARBOR HILLS, PLC
Practice Location Address:

3185 CORPORATE GROVE DR , STE A
HUDSONVILLE, MI
49426-8021

Practice Phone: 616-896-7600
Practice Fax:

1417728213 — HARBOR HILLS, PLC
Practice Location Address:

3185 CORPORATE GROVE DR STE A
HUDSONVILLE, MI
49426-8021

Practice Phone: 616-896-7600
Practice Fax:

1417824731 — HUDSONVILLE DENTISTRY PLLC
Practice Location Address:

3185 CORPORATE GROVE DR
HUDSONVILLE, MI
49426-8021

Practice Phone: 616-896-7600
Practice Fax:

1881694479 — AMY JEAN BOONE PA-C
Practice Location Address:

3152 PORT SHELDON ST , SUITE C
HUDSONVILLE, MI
49426-9297

Practice Phone: 616-669-9238
Practice Fax: 616-669-8296

1922093798 — BRADLEY A DYKSTRA DDS PLC
Practice Location Address:

3250 CENTRAL BLVD
HUDSONVILLE, MI
49426-1439

Practice Phone: 616-669-6600
Practice Fax: 616-669-2964

Directions to “ MRS. BONNY KAYE MATTHYSSE RDH” 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.