| Organization Name: | KRAUSE DENTAL EXCELLENCE, P.C. |
| NPI Number: | 1245396373 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANDREW JOHN KRAUSE (CHIEF EXECUTIVE OFFICER-DENTIST) |
| Mailing Address: | 51160 Washington St New Baltimore |
| State: | MI US |
| Postal Code: | 480472159 |
| Phone Number: | 5867259321 |
| Fax Number: | 5867255108 |
| NPI Enumeration Date: | 01/01/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | 014272 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |