PEDIATRIC DENTAL SPECIALISTS OF WEST MICHIGAN
NPI 1184194433
Dentist - Pediatric Dentistry in Grand Rapids, MI

Q: What is Pediatric Dental Specialists Of West Michigan's specialty?

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

Active since November 29, 2018

2155 E PARIS AVE SE STE 120, GRAND RAPIDS, MI 49546(616) 608-8898 Get Directions Write a Review

NPPES record last updated: November 29, 2018. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Pediatric Dental Specialists Of West Michigan NPPES

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

PEDIATRIC DENTAL SPECIALISTS OF WEST MICHIGAN (NPI 1184194433) is a healthcare organization registered as a pediatric dentistry in Grand Rapids, Michigan and active in the NPI registry since November 2018. The organization lists Kathryn L Swanson, Pediatric Dentist, as its authorized official.

NPPES Registry Identity

NPI1184194433

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NamePEDIATRIC DENTAL SPECIALISTS OF WEST MICHIGAN

Location Address2155 E PARIS AVE SE STE 120Grand Rapids, MI 49546-6142

Mailing Address717 Croswell Ave SeEast Grand Rapids, MI 49506-3005 · (248) 705-3285

Phone(616) 608-8898

Organization SubpartNo

Authorized OfficialKathryn L SwansonPediatric Dentist · (248) 705-3285

Enumeration DateNovember 29, 2018

✔ NPI 1184194433 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.

2155 E PARIS AVE SE STE 120, Grand Rapids, MI 49546

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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

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

TONGUE TIE SPECIALISTS OF WEST MICHIGAN

Dentist (Pediatric Dentistry)

2155 E PARIS AVE SE STE 120
GRAND RAPIDS, MI 49546

Kent County (616) 608-8898

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 Pediatric Dental Specialists Of West Michigan's NPI number?

The NPI number for Pediatric Dental Specialists Of West Michigan is 1184194433. It was assigned to this organization in the NPPES registry on November 29, 2018.

Where is Pediatric Dental Specialists Of West Michigan located?

Pediatric Dental Specialists Of West Michigan is located at 2155 E Paris Ave SE Ste 120, Grand Rapids, MI 49546. The listed phone number is (616) 608-8898.

What is Pediatric Dental Specialists Of West Michigan'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 Pediatric Dental Specialists Of West Michigan was last updated on November 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.