Organization · Type 2 NPI
Grand River Periodontics, PLLC
Periodontics · Grandville, MI
NPI number
1326715665
Active
Practice location
3050 Ivanrest Ave SW Ste B
Grandville, MI 49418-1400
Mailing address
499 Somerset Dr NE
Grand Rapids, MI 49503-3906
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | None listed |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Other periodontics providers in Grandville
About NPI 1326715665
Grand River Periodontics, PLLC's National Provider Identifier is 1326715665, issued on Aug 25, 2021. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Grandville, MI. The record was last updated on Aug 25, 2021.