ANGELA L BULTEMA RDH
NPI 1164259115
Dental Hygienist in Grand Rapids, MI

Q: What is Angela Bultema's NPI number?

The NPI number for Angela Bultema is 1164259115. It was assigned to this individual provider in the NPPES registry on September 16, 2024.

Q: What is Angela Bultema's specialty?

The primary specialty registered for this NPI is Dental Hygienist with taxonomy code 124Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Angela Bultema was last updated on October 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.

Active since September 16, 2024

669 STOCKING AVE NW, GRAND RAPIDS, MI 49504(616) 235-1480 Get Directions Write a Review

NPPES record last updated: October 16, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Angela L Bultema Rdh NPPES

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

ANGELA L BULTEMA RDH (NPI 1164259115) is an individual dental hygienist in Grand Rapids, Michigan, licensed in Michigan (2902012749) and active in the NPI registry since September 2024.

NPPES Registry Identity

NPI1164259115

Entity TypeIndividualFemale

Primary Taxonomy124Q00000X

Provider Legal NameANGELA L BULTEMACredential: RDH

Location Address669 STOCKING AVE NWGrand Rapids, MI 49504-5176

Mailing Address550 Cherry St SeGrand Rapids, MI 49503-4748 · (616) 235-7272

Phone(616) 235-1480

Sole ProprietorNo

Enumeration DateSeptember 16, 2024

Last NPPES UpdateOctober 16, 2024

NPPES CertifiedOctober 7, 2024

✔ NPI 1164259115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental HygienistDental Providers

Taxonomy Code124Q00000X

License✔ Licensed in MI · 2902012749

Definition

An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.

669 STOCKING AVE NW, Grand Rapids, MI 49504

Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

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

LISA NICOLE-CIZEK BOCZAR LMSW

Social Worker (Clinical)