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GRAND RIVER PEDIATRIC DENTISTRY PLLC
NPI 1174175996
Dentist - Pediatric Dentistry in Jenison, MI

Active since July 11, 2019
7758 20TH AVE, JENISON, MI 49428(734) 250-4494 Get Directions Write a Review

NPPES record last updated: December 18, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 18, 2019, Jul 11, 2019 (2 updates tracked since 2019).

About Grand River Pediatric Dentistry Pllc NPPES

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

GRAND RIVER PEDIATRIC DENTISTRY PLLC (NPI 1174175996) is a healthcare organization registered as a pediatric dentistry in Jenison, Michigan and active in the NPI registry since July 2019. The organization lists Meghan Dubois Condit, Member, as its authorized official.

NPPES Registry Identity

NPI1174175996
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameGRAND RIVER PEDIATRIC DENTISTRY PLLC
Location Address7758 20TH AVEJenison, MI 49428
Mailing Address7758 20th AveJenison, MI 49428-8524 · (616) 777-3300
Phone(734) 250-4494
Organization SubpartNo
Authorized OfficialMeghan Dubois ConditMember · (734) 250-4494
Enumeration DateJuly 11, 2019
Last NPPES UpdateDecember 18, 20192 updates tracked since enumeration
✔ NPI 1174175996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
7758 20TH AVE, Jenison, MI 49428
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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

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.

CHRISTINE VOLLMAR D.D.S.
Dentist (Pediatric Dentistry)
7758 20TH AVE
JENISON, MI 49428
Ottawa County (616) 777-3300
DR. MEGHAN DUBOIS CONDIT D.D.S.
Dentist
7758 20TH AVE
JENISON, MI 49428
Ottawa County (616) 777-3300

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 River Pediatric Dentistry PLLC's NPI number?

The NPI number for Grand River Pediatric Dentistry PLLC is 1174175996. It was assigned to this organization in the NPPES registry on July 11, 2019.

Where is Grand River Pediatric Dentistry PLLC located?

Grand River Pediatric Dentistry PLLC is located at 7758 20th Ave, Jenison, MI 49428. The listed phone number is (734) 250-4494.

What is Grand River Pediatric Dentistry PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Grand River Pediatric Dentistry PLLC was last updated on December 18, 2019. 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.