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MODERN FAMILY DENTAL PC
NPI 1003479833
Dentist - General Practice in Grand Haven, MI

Active since April 17, 2019
17272 ROBBINS RD STE 104, GRAND HAVEN, MI 49417(616) 820-5744 Get Directions Write a Review

NPPES record last updated: April 17, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Modern Family Dental Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MODERN FAMILY DENTAL PC (NPI 1003479833) is a healthcare organization registered as a general practice in Grand Haven, Michigan and active in the NPI registry since April 2019. The organization lists Renee Heise, Insurance Specialist, as its authorized official.

NPPES Registry Identity

NPI1003479833
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMODERN FAMILY DENTAL PC
Location Address17272 ROBBINS RD STE 104Grand Haven, MI 49417-2677
Mailing Address17272 Robbins Rd Ste 104Grand Haven, MI 49417-2677 · (616) 820-5744
Phone(616) 820-5744
Organization SubpartNo
Authorized OfficialRenee HeiseInsurance Specialist · (231) 865-6945
Enumeration DateApril 17, 2019
✔ NPI 1003479833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
17272 ROBBINS RD STE 104, Grand Haven, MI 49417
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Modern Family Dental PC's NPI number?

The NPI number for Modern Family Dental PC is 1003479833. It was assigned to this organization in the NPPES registry on April 17, 2019.

Where is Modern Family Dental PC located?

Modern Family Dental PC is located at 17272 Robbins Rd Ste 104, Grand Haven, MI 49417. The listed phone number is (616) 820-5744.

What is Modern Family Dental PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Modern Family Dental PC was last updated on April 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.