TOUGH TEETH & GREAT GUMS
NPI 1104073410
Dentist - Dental Public Health in Comstock Park, MI

Active since August 19, 2008
1866 10 MILE RD NE, COMSTOCK PARK, MI 49321(616) 460-6369 Get Directions Write a Review

NPPES record last updated: August 19, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tough Teeth & Great Gums NPPES

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

TOUGH TEETH & GREAT GUMS (NPI 1104073410) is a healthcare organization registered as a dental public health in Comstock Park, Michigan and active in the NPI registry since August 2008. The organization lists Amy Elizabeth Broekstra, Director, as its authorized official.

NPPES Registry Identity

NPI1104073410
Entity TypeOrganization
Primary Taxonomy1223D0001X
Legal Business NameTOUGH TEETH & GREAT GUMS
Location Address1866 10 MILE RD NEComstock Park, MI 49321-9669
Mailing Address1866 10 Mile Rd NeComstock Park, MI 49321-9669 · (616) 460-6369
Organization SubpartNo
Authorized OfficialAmy Elizabeth BroekstraDirector · (616) 460-6369
Enumeration DateAugust 19, 2008
NPI 1104073410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Dental Public HealthDental Providers
Taxonomy Code1223D0001X
License Licensed in MI · 2901010721
Definition
The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis.
1866 10 MILE RD NE, Comstock Park, MI 49321

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 Tough Teeth & Great Gums's NPI number?

The NPI number for Tough Teeth & Great Gums is 1104073410. It was assigned to this organization in the NPPES registry on August 19, 2008.

Where is Tough Teeth & Great Gums located?

Tough Teeth & Great Gums is located at 1866 10 Mile Rd NE, Comstock Park, MI 49321. The listed phone number is (616) 460-6369.

What is Tough Teeth & Great Gums's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Dental Public Health, with taxonomy code 1223D0001X.

When was this NPI record last updated?

The NPPES record for Tough Teeth & Great Gums was last updated on August 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.