PEDIATRIC DENTISTRY OF EAST LANSING
NPI 1225632284
Dentist - Pediatric Dentistry in East Lansing, MI

Active since November 30, 2020
3511 COOLIDGE RD, EAST LANSING, MI 48823(517) 337-0032 Get Directions Write a Review

NPPES record last updated: September 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pediatric Dentistry Of East Lansing NPPES

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

PEDIATRIC DENTISTRY OF EAST LANSING (NPI 1225632284) is a healthcare organization registered as a pediatric dentistry in East Lansing, Michigan and active in the NPI registry since November 2020. The organization lists Jacob Myers, Dentist, as its authorized official.

NPPES Registry Identity

NPI1225632284
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NamePEDIATRIC DENTISTRY OF EAST LANSING
Location Address3511 COOLIDGE RDEast Lansing, MI 48823-6390
Mailing Address3511 Coolidge RdEast Lansing, MI 48823-6390 · (517) 337-0032
Organization SubpartNo
Authorized OfficialJacob MyersDentist · (517) 337-0032
Enumeration DateNovember 30, 2020
Last NPPES UpdateSeptember 25, 2025
NPPES CertifiedSeptember 25, 2025
NPI 1225632284 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.
3511 COOLIDGE RD, East Lansing, MI 48823

Other Names 1

Doing Business AsPediatric Dentistry Of East Lansing

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.

Dentist (Pediatric Dentistry)
3511 COOLIDGE RD
EAST LANSING, MI 48823

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 Dentistry Of East Lansing's NPI number?

The NPI number for Pediatric Dentistry Of East Lansing is 1225632284. It was assigned to this organization in the NPPES registry on November 30, 2020.

Where is Pediatric Dentistry Of East Lansing located?

Pediatric Dentistry Of East Lansing is located at 3511 Coolidge Rd, East Lansing, MI 48823. The listed phone number is (517) 337-0032.

What is Pediatric Dentistry Of East Lansing'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 Dentistry Of East Lansing was last updated on September 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.