Individual provider · Type 1 NPI

Brett Kingma, DDS

Pediatric Dentistry · Grand Rapids, MI

NPI number 1669864732 Active

Practice location

1179 E Paris Ave SE
Grand Rapids, MI 49546-8371

Fax (616) 942-0170

Mailing address

1392 Clermont St
Denver, CO 80220-2440

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X2901021450 (MI)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1669864732

Brett Kingma, DDS's National Provider Identifier is 1669864732, issued on Feb 26, 2015. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Grand Rapids, MI. The record was last updated on Feb 26, 2015.