Organization · Type 2 NPI

Blue Star Family Dentistry

Dental Clinic/Center · South Haven, MI

NPI number 1992612428 Active

Practice location

05055 Blue Star M Hwy
South Haven, MI 49090-7135

Mailing address

4737 Macatawa Legends Blvd
Holland, MI 49424-7453

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

Dental Clinic/Center: Definition to come...

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About NPI 1992612428

Blue Star Family Dentistry's National Provider Identifier is 1992612428, issued on Aug 27, 2026. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in South Haven, MI. The record was last updated on Aug 27, 2026.