Individual provider · Type 1 NPI

C Philip Doezema, DDS

Dentist · Grand Rapids, MI

NPI number 1902877988 Active

Practice location

2003 Burton SE
Grand Rapids, MI 49506-4600

Fax (616) 243-7874

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X29010112283 (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 1902877988

C Philip Doezema, DDS's National Provider Identifier is 1902877988, issued on Jan 30, 2006. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Grand Rapids, MI. The record was last updated on Jul 13, 2026.