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GEORGETOWN FAMILY & COSMETIC DENTISTRY PLC
NPI 1255404992
Dentist - General Practice in Jenison, MI

Active since November 17, 2006
7678 COTTONWOOD DR, JENISON, MI 49428(616) 457-4600(616) 457-4600 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Georgetown Family & Cosmetic Dentistry Plc NPPES

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

GEORGETOWN FAMILY & COSMETIC DENTISTRY PLC (NPI 1255404992) is a healthcare organization registered as a general practice in Jenison, Michigan and active in the NPI registry since November 2006. The organization lists Tyler Andrew Wolf, Owner Dentist, as its authorized official.

NPPES Registry Identity

NPI1255404992
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameGEORGETOWN FAMILY & COSMETIC DENTISTRY PLC
Location Address7678 COTTONWOOD DRJenison, MI 49428
Mailing Address7678 Cottonwood DrJenison, MI 49428 · (616) 457-4600 · Fax (616) 457-6021
Phone(616) 457-4600
Fax(616) 457-4600
Organization SubpartNo
Authorized OfficialTyler Andrew WolfOwner Dentist · (616) 457-4600
Enumeration DateNovember 17, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1255404992 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.
7678 COTTONWOOD DR, Jenison, MI 49428
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Other Identifiers 1

OtherJ801114Bcbs Id #

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.

TYLER ANDREW WOLF DDS
Dentist
7678 COTTONWOOD DR
JENISON, MI 49428
Ottawa County (616) 457-4600

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 Georgetown Family & Cosmetic Dentistry Plc's NPI number?

The NPI number for Georgetown Family & Cosmetic Dentistry Plc is 1255404992. It was assigned to this organization in the NPPES registry on November 17, 2006.

Where is Georgetown Family & Cosmetic Dentistry Plc located?

Georgetown Family & Cosmetic Dentistry Plc is located at 7678 Cottonwood Dr, Jenison, MI 49428. The listed phone number is (616) 457-4600.

What is Georgetown Family & Cosmetic Dentistry Plc'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 Georgetown Family & Cosmetic Dentistry Plc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.