Individual provider · Type 1 NPI

Defoe James Edgerle, DDS

General Practice Dentistry · Grand Rapids, MI

NPI number 1174684120 Active

Practice location

751 Kenmoor Ave SE, Suite G
Grand Rapids, MI 49546-2388

Call (616) 949-4272 Map

Fax (616) 949-9320

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X015945 (MI)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1174684120

Defoe James Edgerle, DDS's National Provider Identifier is 1174684120, issued on Dec 13, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Grand Rapids, MI. The record was last updated on Jul 8, 2007.