Individual provider · Type 1 NPI

Stuart Pettijohn, DDS

Dentist · Grand Rapids, MI

NPI number 1710207097 Active

Practice location

4500 Cascade Rd SE Ste 100
Grand Rapids, MI 49546-3665

Call (616) 942-8301 Map

Other practice locations

  • 128 S Broad St, Adrian, MI 49221-2723 · (517) 266-0651

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X2901020216 (MI)

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 1710207097

Stuart Pettijohn, DDS's National Provider Identifier is 1710207097, issued on Jun 9, 2010. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Grand Rapids, MI. The record was last updated on Jul 21, 2022.