DR. JOHN P BOLTHOUSE DDS, MS
NPI 1063547008
Dentist - Orthodontics and Dentofacial Orthopedics in Grandville, MI

Active since February 22, 2007
3100 IVANREST AVE SW, GRANDVILLE, MI 49418(616) 538-1260(616) 538-5540 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. John P Bolthouse Dds, Ms NPPES

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

DR. JOHN P BOLTHOUSE DDS, MS (NPI 1063547008) is an individual orthodontics and dentofacial orthopedics provider in Grandville, Michigan, licensed in Michigan (08554) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1063547008
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameDR. JOHN P BOLTHOUSECredential: DDS, MS
Location Address3100 IVANREST AVE SWGrandville, MI 49418-2930
Mailing Address3100 Ivanrest Ave SwGrandville, MI 49418-2930 · (616) 538-1260 · Fax (616) 538-5540
Fax(616) 538-5540
Sole ProprietorYes
Enumeration DateFebruary 22, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1063547008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in MI · 08554
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
3100 IVANREST AVE SW, Grandville, MI 49418

Other Providers at the Same Location NPPES 6

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

Dentist
3100 IVANREST AVE SW, SUITE 105
GRANDVILLE, MI 49418
Dentist
3100 IVANREST AVE SW, SUITE 105
GRANDVILLE, MI 49418
Dentist (Endodontics)
3100 IVANREST AVE SW, SUITE # 104
GRANDVILLE, MI 49418
Dentist (Endodontics)
3100 IVANREST AVE SW, SUITE # 104
GRANDVILLE, MI 49418
Dentist (Endodontics)
3100 IVANREST AVE SW, SUITE 104
GRANDVILLE, MI 49418
Dentist (Oral and Maxillofacial Surgery)
3100 IVANREST AVE SW, SUITE 103
GRANDVILLE, MI 49418

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 John Bolthouse's NPI number?

The NPI number for John Bolthouse is 1063547008. It was assigned to this individual provider in the NPPES registry on February 22, 2007.

Where is John Bolthouse located?

John Bolthouse practices at 3100 Ivanrest Ave SW, Grandville, MI 49418. The listed phone number is (616) 538-1260.

What is John Bolthouse's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

When was this NPI record last updated?

The NPPES record for John Bolthouse was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.