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DR. KENNETH JOHN ROEDEMA D.D.S.
NPI 1174635346
Dentist in Grand Rapids, MI

Active since August 31, 2006
1632 LEONARD ST NW, GRAND RAPIDS, MI 49504(616) 453-5331 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. Kenneth John Roedema D.d.s. NPPES

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

DR. KENNETH JOHN ROEDEMA D.D.S. (NPI 1174635346) is an individual dentist in Grand Rapids, Michigan, licensed in Michigan (D11344) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1174635346
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. KENNETH JOHN ROEDEMACredential: D.D.S.
Location Address1632 LEONARD ST NWGrand Rapids, MI 49504-3994
Mailing Address1632 Leonard St NwGrand Rapids, MI 49504-3994 · (616) 453-5331
Phone(616) 453-5331
Sole ProprietorYes
Enumeration DateAugust 31, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1174635346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MI · D11344
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1632 LEONARD ST NW, Grand Rapids, MI 49504
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Other Providers at the Same Location NPPES

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

DR. RYAN HARTLEY DMD
Dentist
1632 LEONARD ST NW
GRAND RAPIDS, MI 49504
Kent County (616) 460-3838

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 Kenneth Roedema's NPI number?

The NPI number for Kenneth Roedema is 1174635346. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Kenneth Roedema located?

Kenneth Roedema practices at 1632 Leonard St NW, Grand Rapids, MI 49504. The listed phone number is (616) 453-5331.

What is Kenneth Roedema's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Kenneth Roedema 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.