Individual provider · Type 1 NPI

John P. Bolthouse, DDS, MS

Orthodontics and Dentofacial Orthopedics Dentistry · Grandville, MI

NPI number 1063547008 Active

Practice location

3100 Ivanrest Ave SW
Grandville, MI 49418-2930

Fax (616) 538-5540

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	08554 (MI)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1063547008

John P. Bolthouse, DDS, MS's National Provider Identifier is 1063547008, issued on Feb 22, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Grandville, MI. The record was last updated on Jul 8, 2007.