GRANDVILLE DENTAL HEALTH CENTER PC (NPI# 1881843878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881843878 |
| Entity Type | Organization |
| Organization Name | GRANDVILLE DENTAL HEALTH CENTER PC |
| Practice Address |
4050 Del Mar Dr Sw Suite B Wyoming MI 49418-8870 |
| Practice Telephone | 6165310360 |
| Practice Fax Number | 6165312810 |
| Mailing Telephone | 6165310360 |
| Mailing Fax Number | 6165312810 |
| Enumeration Date | 2008-09-15 |
| Last Update Date | 2013-01-23 |
| Authorized Official Name | LARISSA KYLE BISHOP (PRESIDENT) |
| Authorized Official Telephone | 6165310360 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 2901019378 | MI | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4487030 | 05 |
| Street Address |
4050 DEL MAR DR SW SUITE B |
| City | WYOMING |
| State | MI |
| Zip Code | 49418-8870 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144799669 | Holly Cieslinski | Occupational Therapist | 3550 Fairlines Ave, Grandville, MI 49418 | 2018-11-14 |
| 1639664857 | Athletico Ltd | Physical Therapist | 3819 Rivertown Pkwy Sw Ste 100, Grandville, MI 49418 | 2018-06-29 |
| 1437651916 | Great Lakes Wellness Counseling LLC | Counselor | 2900 Wilson Ave Suite 110, Grandville, MI 49418 | 2018-03-01 |
| 1780111765 | Jenna Sargent | Nurse Practitioner | 2845 44th St Sw, Ste 200, Grandville, MI 49418 | 2017-05-22 |
| 1881132827 | Laura Elizabeth Ramaker | Specialist/Technologist | 2787 Pine Dunes Ct Sw, Wyoming, MI 49418 | 2017-02-10 |
| 1689026130 | Charles Unseld | Hearing Instrument Specialist | O-38 44th St Sw, Grandville, MI 49418 | 2016-07-08 |
| 1972989655 | Laci Dawn Johncock | Physical Therapy Assistant | 2786 56th Street, Wyoming, MI 49418 | 2015-08-05 |
| 1891178570 | Joshua Kolman | Pharmacist | 3434 Century Center Dr Sw, Grandville, MI 49418 | 2015-06-30 |
| 1710368782 | Tracie Medrano- Smith | Family Medicine | 4174 56th St Sw, Wyoming, MI 49418 | 2015-06-15 |
| 1124410808 | Kim Michelle Childress | Counselor | 4565 Wilson Ave Sw Ste 3a, Grandville, MI 49418 | 2015-03-04 |
| Find all providers in zip 49418 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | 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 requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851909436 | Matthew Rohlf | Dentist | 5378 E Viking Blvd, Wyoming, MN 55092 | 2020-07-20 |
| 1235453804 | Van Timmeren Family Dentistry, P.C. | Dentist | 2620 44th St Sw, Wyoming, MI 49519-4106 | 2010-03-25 |
| 1760651574 | Dean R Argo | Dentist | 4489 Byron Center Sw, Wyoming, MI 49509 | 2008-02-26 |
| 1861671414 | Ann Marie Mcdonough | Dentist | 25 E 8th St, Wyoming, PA 18644 | 2007-10-31 |
| 1205963683 | Mark Anthony Hilinski | Dentist | 25 East 8th Street, Wyoming, PA 18644 | 2007-02-27 |
| 1710909767 | Wyoming Dental Associates | Dentist | 1621 44th St Sw, Wyoming, MI 49509-4387 | 2006-07-25 |
| 1336103696 | Dr Henry Texer Jr Dds PC | Dentist | 2757 44 St Sw, Suite 303, Wyoming, MI 49519-4192 | 2006-04-13 |
| 1508424813 | Dale Robert Flanagin II | Dentist | 1124 28th St Sw, Wyoming, MI 49509-2855 | 2019-06-01 |
| 1538636915 | Sleep Well West Michigan | Dentist | 1621 44th St Sw, Wyoming, MI 49509-4387 | 2018-10-24 |
| 1659864536 | Sabrina Imran Wadood | Dentist | 1124 28th St Sw, Wyoming, MI 49509-2855 | 2018-06-14 |
| Find all providers in WYOMING | ||||
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| 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.