BLUE BRIDGE DENTAL PLLC NPI 1477261196

NPI Information

  • NPI: 1477261196
  • Provider Name: BLUE BRIDGE DENTAL PLLC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 11160 W.J. PRESLEY PKWY
    SUITE 200
    ALLENDALE, MI
    ZIP 49401
  • Phone: (616) 217-3992

Map and Directions

Get Directions

NPI Details

BLUE BRIDGE DENTAL PLLC is a dental clinic center in Allendale, MI. BLUE BRIDGE DENTAL PLLC NPI is 1477261196. The provider is registered as an organization entity type.

The provider's business location address is:

11160 W.J. PRESLEY PKWY
SUITE 200
ALLENDALE, MI
ZIP 49401
Phone: (616) 217-3992

The provider's authorized official is Tiffany Kimmel .
The authorized official title is Ceo and has the following contact phone number (570) 847-7815.

The enumeration date for this NPI number is 11/10/2022 and was last updated on 11/10/2022.

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
1261QD0000XClinic/CenterDentalYes

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.