VANDER LINDE FAMILY AND COSMETIC DENTISTRY (NPI# 1699380584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699380584 |
| Entity Type | Organization |
| Organization Name | VANDER LINDE FAMILY AND COSMETIC DENTISTRY |
| Practice Address |
2609 Breton Rd Se Grand Rapids MI 49546-5631 |
| Mailing Address |
2609 Breton Rd. Se Grand Rapids MI 49546 |
| Practice Telephone | 6162453205 |
| Mailing Telephone | 6162453205 |
| Enumeration Date | 2020-09-09 |
| Last Update Date | 2020-09-09 |
| Authorized Official Name | DR. ALEXANDRA DODDS (DENTIST) |
| Authorized Official Telephone | 6162453205 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Renew Family Dental | Doing Business As Name - Organization |
| Street Address |
2609 BRETON RD SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49546-5631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083098198 | Alexandra Dodds | Dentist | 2609 Breton Rd Se, Grand Rapids, MI 49546 | 2015-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437762986 | Amanda Mae Ostrom | Speech-Language Pathologist | 710 Kenmore Ave Se, #110, Grand Rapids, MI 49546 | 2020-08-25 |
| 1063075562 | Kelly Lynn Ibarra | Counselor | 4467 Cascade Road Se, Suite #4479, Grand Rapids, MI 49546 | 2019-04-19 |
| 1891257036 | Jessica Matthews LLC | Counselor | 4127 Embassy Drive Se, Grand Rapids, MI 49546 | 2019-04-05 |
| 1326518531 | Neah Morgan | Technician | 4220 Burton St Se, Grand Rapids, MI 49546 | 2018-11-29 |
| 1316430267 | Michael John Benskey | Case Manager/Care Coordinator | 4065 Saladin St Se, Grand Rapids, MI 49546 | 2018-06-14 |
| 1679062772 | Smile Cascade, P.C. | Clinic/Center | 4505 Cascade Rd Se # A, Grand Rapids, MI 49546 | 2018-05-03 |
| 1720583289 | Jeromy Krogman | Counselor | 826 Parchment Drive Se, Grand Rapids, MI 49546 | 2018-03-27 |
| 1841792660 | Affordable Hearing Clinic | Hearing Instrument Specialist | 833 Kenmoor Ave Se Ste G, Grand Rapids, MI 49546 | 2018-03-07 |
| 1689176133 | Kelly Pines | Physical Therapist | 625 Kenmoor Ave Suite 306, Grand Rapids, MI 49546 | 2018-03-01 |
| 1467971440 | Deanna Elizabeth Saenz | Social Worker | 2100 Raybrook St Se Ste 300, Grand Rapids, MI 49546 | 2017-09-12 |
| Find all providers in zip 49546 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235739533 | Randy J Breen Dds Pllc | Clinic/Center | 2460 Burton St Se Ste 201, Grand Rapids, MI 49546-4800 | 2020-10-27 |
| 1720685399 | Elias Dental Lab | Clinic/Center | 535 Greenwood Ave Se Ste 100, Grand Rapids, MI 49506-2901 | 2020-10-06 |
| 1780291815 | Met & Associates, Plc | Clinic/Center | 2140b Wealthy St Se, Grand Rapids, MI 49506-3032 | 2020-09-23 |
| 1568075786 | D & J Dental Holdings Pllc | Clinic/Center | 2249 Wealthy St Se Ste 100, Grand Rapids, MI 49506-3055 | 2020-08-27 |
| 1023627163 | Grand Ridge Family Dentistry | Clinic/Center | 3350 Grand Ridge Dr Ne, Grand Rapids, MI 49525-7071 | 2020-07-24 |
| 1679062772 | Smile Cascade, P.C. | Clinic/Center | 4505 Cascade Rd Se # A, Grand Rapids, MI 49546 | 2018-05-03 |
| 1801060702 | Randall W. Chambers, Dds, PC | Clinic/Center | 6143 28th St Se, Grand Rapids, MI 49546-6941 | 2008-04-22 |
| 1194855155 | County of Kent | Clinic/Center | 700 Fuller Ave Ne, Grand Rapids, MI 49503-1918 | 2007-03-07 |
| 1114524881 | Joshua Palmateer Dmd and Katelyn Palmateer Dmd, Pllc | Clinic/Center | 4701 Plainfield Ave Ne, Grand Rapids, MI 49525-1644 | 2020-10-06 |
| 1669087433 | Leonard J Bartoszewicz, Dds | Clinic/Center | 2003 Burton St Se, Grand Rapids, MI 49506-4600 | 2020-09-09 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49546 |
Please comment or provide details below to improve the information on VANDER LINDE FAMILY AND COSMETIC DENTISTRY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.