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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BRENNAN FAMILY & COSMETIC DENTISTRY, PC
NPI 1174224265
Dentist - General Practice in Grand Rapids, MI

Active since March 15, 2023
3152 PEREGRINE DR NE STE 200, GRAND RAPIDS, MI 49525(616) 447-3660(616) 447-7660 Get Directions Write a Review

NPPES record last updated: August 7, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 7, 2026, Mar 15, 2023 (2 updates tracked since 2023).

About Brennan Family & Cosmetic Dentistry, Pc NPPES

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

BRENNAN FAMILY & COSMETIC DENTISTRY, PC (NPI 1174224265), doing business as Knapp Dental Lodge, is a healthcare organization registered as a general practice in Grand Rapids, Michigan and active in the NPI registry since March 2023. The organization lists Thomas Pare, Doctor Owner, as its authorized official.

NPPES Registry Identity

NPI1174224265
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBRENNAN FAMILY & COSMETIC DENTISTRY, PC
Location Address3152 PEREGRINE DR NE STE 200Grand Rapids, MI 49525-9723
Mailing Address3152 Peregrine Dr Ne Ste 200Grand Rapids, MI 49525-9723 · (616) 447-3660 · Fax (616) 447-7660
Phone(616) 447-3660
Fax(616) 447-7660
Organization SubpartNo
Authorized OfficialThomas PareDoctor Owner · (616) 447-3660
Enumeration DateMarch 15, 2023
Last NPPES UpdateAugust 7, 20262 updates tracked since enumeration
NPPES CertifiedAugust 7, 2026
✔ NPI 1174224265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
3152 PEREGRINE DR NE STE 200, Grand Rapids, MI 49525
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Other Names 1

Doing Business AsKnapp Dental Lodge

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.

DR. EUGENE RO DMD
Dentist
3152 PEREGRINE DR NE STE 200
GRAND RAPIDS, MI 49525
Kent County (616) 447-3660
DR. THOMAS NELSON PARE III DMD
Dentist
3152 PEREGRINE DR NE STE 200
GRAND RAPIDS, MI 49525
Kent County (616) 447-3660

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 Brennan Family & Cosmetic Dentistry, PC's NPI number?

The NPI number for Brennan Family & Cosmetic Dentistry, PC is 1174224265. It was assigned to this organization in the NPPES registry on March 15, 2023. The provider is doing business as Knapp Dental Lodge.

Where is Brennan Family & Cosmetic Dentistry, PC located?

Brennan Family & Cosmetic Dentistry, PC is located at 3152 Peregrine Dr NE Ste 200, Grand Rapids, MI 49525. The listed phone number is (616) 447-3660.

What is Brennan Family & Cosmetic Dentistry, PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Brennan Family & Cosmetic Dentistry, PC was last updated on August 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days 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.