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DJ EDGERLE, DDS, PC
NPI 1295360428
Dentist - General Practice in Grand Rapids, MI

Active since March 09, 2020
751 KENMOOR AVE SE STE G, GRAND RAPIDS, MI 49546(616) 949-2720(616) 949-9320 Get Directions Write a Review

NPPES record last updated: March 9, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dj Edgerle, Dds, Pc NPPES

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

DJ EDGERLE, DDS, PC (NPI 1295360428) is a healthcare organization registered as a general practice in Grand Rapids, Michigan and active in the NPI registry since March 2020. The organization lists Defoe J Edgerle, Owner, as its authorized official.

NPPES Registry Identity

NPI1295360428
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDJ EDGERLE, DDS, PC
Location Address751 KENMOOR AVE SE STE GGrand Rapids, MI 49546-2391
Mailing Address751 Kenmoor Ave Se Ste GGrand Rapids, MI 49546-2391 · (616) 949-2720
Phone(616) 949-2720
Fax(616) 949-9320
Organization SubpartNo
Authorized OfficialDefoe J EdgerleOwner · (616) 949-2720
Enumeration DateMarch 9, 2020
NPPES CertifiedMarch 9, 2020
✔ NPI 1295360428 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.
751 KENMOOR AVE SE STE G, 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

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 Dj Edgerle, Dds, PC's NPI number?

The NPI number for Dj Edgerle, Dds, PC is 1295360428. It was assigned to this organization in the NPPES registry on March 9, 2020.

Where is Dj Edgerle, Dds, PC located?

Dj Edgerle, Dds, PC is located at 751 Kenmoor Ave SE Ste G, Grand Rapids, MI 49546. The listed phone number is (616) 949-2720.

What is Dj Edgerle, Dds, PC'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 Dj Edgerle, Dds, PC was last updated on March 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.