Organization · Type 2 NPI

West Michigan Pediatric Dentistry

Pediatric Dentistry · Holland, MI

NPI number 1942327259 Active

Practice location

845 E. 16th St
Holland, MI 49423

Fax (616) 392-3748

Specialties and licenses

Taxonomy	Code	License
Pediatric Dentistry Primary	1223P0221X	2901012323 (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.

Another provider at this address

Daniel L. Bolt, DDSPediatric Dentistry Holland, MI NPI 1811069198

Other pediatric dentistry providers in Holland

See all in Holland →

NPI record

NPI: 1942327259
Entity type: Organization (Type 2)
Issued: Mar 23, 2007
Last updated: Sep 24, 2021
Status: Active

Other names

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West Michigan Pedatric Dentistry, LLC · other name
West Michigan Pedatric Dentistry, LLC · other name

Authorized official

Kathy Wissink
Office Manager
(616) 392-2381

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1942327259

West Michigan Pediatric Dentistry's National Provider Identifier is 1942327259, issued on Mar 23, 2007. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Holland, MI. The record was last updated on Sep 24, 2021.