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DEFOE JAMES EDGERLE D.D.S.
NPI 1174684120
Dentist - General Practice in Grand Rapids, MI

Active since December 13, 2006
751 KENMOOR AVE SE, SUITE G, GRAND RAPIDS, MI 49546(616) 949-4272(616) 949-9320 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Defoe James Edgerle D.d.s. NPPES

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

DEFOE JAMES EDGERLE D.D.S. (NPI 1174684120) is an individual general practice provider in Grand Rapids, Michigan, licensed in Michigan (015945) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1174684120
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDEFOE JAMES EDGERLECredential: D.D.S.
Location Address751 KENMOOR AVE SE, SUITE GGrand Rapids, MI 49546-2388
Mailing Address751 Kenmoor Ave Se, Suite GGrand Rapids, MI 49546-2388 · (616) 949-4272 · Fax (616) 949-9320
Phone(616) 949-4272
Fax(616) 949-9320
Sole ProprietorYes
Enumeration DateDecember 13, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1174684120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MI · 015945
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.
751 KENMOOR AVE SE, Grand Rapids, MI 49546
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of Michigan, Guardian, Humana.Insurance ›

Other Providers at the Same Location NPPES 5

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

MRS. CATHERINE M LISENBEE M.A.,CCC-A
Audiologist (Assistive Technology Practitioner)
751 KENMOOR AVE SE, SUITE B
GRAND RAPIDS, MI 49546
Kent County (616) 954-1895
MRS. ROSEANN DONEY ATC, PTA
Physical Therapy Assistant
751 KENMOOR AVE SE, SUITE H
GRAND RAPIDS, MI 49546
Kent County (616) 975-9078
MR. RAVIKUMAR K SHUKLA RPT
Physical Therapist
751 KENMOOR AVE SE, SUITE # E
GRAND RAPIDS, MI 49546
Kent County (616) 954-7013
INTERNAL MEDICINE AND PEDIATRICS OF WEST MICHIGAN, LLC
Internal Medicine
751 KENMOOR AVE SE
GRAND RAPIDS, MI 49546
Kent County (616) 363-7690
BRIGHTWAVE PAIN THERAPY, PC
Clinic/Center (Pain)
751 KENMOOR AVE SE
GRAND RAPIDS, MI 49546
Kent County (616) 608-5551

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 Defoe Edgerle's NPI number?

The NPI number for Defoe Edgerle is 1174684120. It was assigned to this individual provider in the NPPES registry on December 13, 2006.

Where is Defoe Edgerle located?

Defoe Edgerle practices at 751 Kenmoor Ave SE Suite G, Grand Rapids, MI 49546. The listed phone number is (616) 949-4272.

What is Defoe Edgerle's specialty?

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

What insurance does Defoe Edgerle accept?

Health plans from Delta Dental of Michigan, Guardian and Humana list Defoe Edgerle as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Defoe Edgerle 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.