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OTSEGO FAMILY DENTAL, PLLC
NPI 1265301642
Dentist - General Practice in Otsego, MI

Active since November 03, 2025
338 W ALLEGAN ST, OTSEGO, MI 49078(269) 694-2074 Get Directions Write a Review

NPPES record last updated: November 3, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Otsego Family Dental, Pllc NPPES

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

OTSEGO FAMILY DENTAL, PLLC (NPI 1265301642) is a healthcare organization registered as a general practice in Otsego, Michigan and active in the NPI registry since November 2025. The organization lists Ryan M Himmel, Member, as its authorized official.

NPPES Registry Identity

NPI1265301642
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameOTSEGO FAMILY DENTAL, PLLC
Location Address338 W ALLEGAN STOtsego, MI 49078-1012
Mailing Address338 W Allegan StOtsego, MI 49078-1012 · (269) 694-2074
Phone(269) 694-2074
Organization SubpartNo
Authorized OfficialRyan M HimmelMember · (269) 364-5137
Enumeration DateNovember 3, 2025
NPPES CertifiedNovember 3, 2025
✔ NPI 1265301642 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.
338 W ALLEGAN ST, Otsego, MI 49078
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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 4

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

MICHAEL J. MERDA
Clinic/Center (Dental)
338 W ALLEGAN ST
OTSEGO, MI 49078
Allegan County (269) 694-2074
DR. RYAN MICHAEL HIMMEL DDS
Dentist (General Practice)
338 W ALLEGAN ST
OTSEGO, MI 49078
Allegan County (269) 694-2074
DR. AUBREY MAY DEIBERT DDS
Dentist
338 W ALLEGAN ST
OTSEGO, MI 49078
Allegan County (269) 694-2074
DR. MICHAEL J MERDA DDS
Dentist
338 W ALLEGAN ST
OTSEGO, MI 49078
Allegan County (269) 694-2074

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 Otsego Family Dental, PLLC's NPI number?

The NPI number for Otsego Family Dental, PLLC is 1265301642. It was assigned to this organization in the NPPES registry on November 3, 2025.

Where is Otsego Family Dental, PLLC located?

Otsego Family Dental, PLLC is located at 338 W Allegan St, Otsego, MI 49078. The listed phone number is (269) 694-2074.

What is Otsego Family Dental, PLLC'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 Otsego Family Dental, PLLC was last updated on November 3, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.