PEDIATRIC DENTAL SPECIALISTS OF WEST MICHIGAN NPI 1184194433

NPI Information

NPI: 1184194433
Provider Name: PEDIATRIC DENTAL SPECIALISTS OF WEST MICHIGAN
Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
2155 E PARIS AVE SE STE 120
GRAND RAPIDS, MI
ZIP 49546
Phone: (616) 608-8898
Get Directions

PEDIATRIC DENTAL SPECIALISTS OF WEST MICHIGAN is a pediatric dentistry dentist in Grand Rapids, MI. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. PEDIATRIC DENTAL SPECIALISTS OF WEST MICHIGAN NPI is 1184194433. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2155 E PARIS AVE SE STE 120
GRAND RAPIDS, MI
ZIP 49546-142
Phone: (616) 608-8898

The provider's authorized official is Kathryn L Swanson .
The authorized official title is Pediatric Dentist and has the following contact phone number (248) 705-3285.

The enumeration date for this NPI number is 11/29/2018 and was last updated on 11/29/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223P0221X	Dentist	Pediatric Dentistry			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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