Organization · Type 2 NPI

Pediatric Dentistry of Michigan PLLC

Pediatric Dentistry · Grand Rapids, MI

NPI number 1831702695 Active

Practice location

3297 Eagle Run Dr NE
Grand Rapids, MI 49525-7050

Call (917) 597-6749 Map

Other practice locations

2000 43rd St SE Ste B, Grand Rapids, MI 49508-8700 · (616) 777-7900

Specialties and licenses

Taxonomy	Code	License
Pediatric Dentistry Primary	1223P0221X	None listed

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.

2 other providers at this address

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About NPI 1831702695

Pediatric Dentistry of Michigan PLLC's National Provider Identifier is 1831702695, issued on Aug 30, 2020. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Grand Rapids, MI. The record was last updated on Sep 15, 2026.