Organization · Type 2 NPI

Lake Michigan Dental PC

Dentist · Grand Rapids, MI

NPI number 1164548640 Active

Practice location

2150 Lake Michigan Drive NW
Grand Rapids, MI 49504-4798

Fax (616) 453-3277

Specialties and licenses

Taxonomy	Code	License
Dentist Primary	122300000X	None listed

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1164548640

Lake Michigan Dental PC's National Provider Identifier is 1164548640, issued on Mar 22, 2007. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Grand Rapids, MI. The record was last updated on Mar 26, 2012.