GRAND RIDGE FAMILY DENTISTRY
NPI 1023627163
Clinic/Center - Dental in Grand Rapids, MI

Active since July 24, 2020
3350 GRAND RIDGE DR NE, GRAND RAPIDS, MI 49525(616) 447-7800(616) 447-9611 Get Directions Write a Review

NPPES record last updated: July 24, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Grand Ridge Family Dentistry NPPES

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

GRAND RIDGE FAMILY DENTISTRY (NPI 1023627163) is a healthcare organization registered as a dental in Grand Rapids, Michigan and active in the NPI registry since July 2020. The organization lists John Daniel Lewis, Proprietor, as its authorized official.

NPPES Registry Identity

NPI1023627163
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameGRAND RIDGE FAMILY DENTISTRY
Location Address3350 GRAND RIDGE DR NEGrand Rapids, MI 49525-7071
Mailing Address3350 Grand Ridge Dr NeGrand Rapids, MI 49525-7071 · (616) 447-7800 · Fax (616) 447-9611
Fax(616) 447-9611
Organization SubpartNo
Authorized OfficialJohn Daniel LewisProprietor · (616) 447-7800
Enumeration DateJuly 24, 2020
NPPES CertifiedJuly 24, 2020
NPI 1023627163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
3350 GRAND RIDGE DR NE, Grand Rapids, MI 49525

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
3350 GRAND RIDGE DR NE
GRAND RAPIDS, MI 49525
Dentist (General Practice)
3350 GRAND RIDGE DR NE
GRAND RAPIDS, MI 49525

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 Grand Ridge Family Dentistry's NPI number?

The NPI number for Grand Ridge Family Dentistry is 1023627163. It was assigned to this organization in the NPPES registry on July 24, 2020.

Where is Grand Ridge Family Dentistry located?

Grand Ridge Family Dentistry is located at 3350 Grand Ridge Dr NE, Grand Rapids, MI 49525. The listed phone number is (616) 447-7800.

What is Grand Ridge Family Dentistry's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Grand Ridge Family Dentistry was last updated on July 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.