GRAND RIVER PERIODONTICS, PLLC
NPI 1326715665
Dentist - Periodontics in Grandville, MI

Active since August 25, 2021
3050 IVANREST AVE SW STE B, GRANDVILLE, MI 49418(616) 531-1554 Get Directions Write a Review

NPPES record last updated: August 25, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Grand River Periodontics, Pllc NPPES

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

GRAND RIVER PERIODONTICS, PLLC (NPI 1326715665) is a healthcare organization registered as a periodontics in Grandville, Michigan and active in the NPI registry since August 2021. The organization lists Rachel Sheridan Sinacola, Owner, Periodontist, as its authorized official.

NPPES Registry Identity

NPI1326715665
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameGRAND RIVER PERIODONTICS, PLLC
Location Address3050 IVANREST AVE SW STE BGrandville, MI 49418-1400
Mailing Address499 Somerset Dr NeGrand Rapids, MI 49503-3906 · (989) 430-8554
Organization SubpartNo
Authorized OfficialRachel Sheridan SinacolaOwner, Periodontist · (989) 430-8554
Enumeration DateAugust 25, 2021
NPPES CertifiedAugust 24, 2021
NPI 1326715665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
3050 IVANREST AVE SW STE B, Grandville, MI 49418

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
3050 IVANREST AVE SW STE B
GRANDVILLE, MI 49418

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 Grand River Periodontics, PLLC's NPI number?

The NPI number for Grand River Periodontics, PLLC is 1326715665. It was assigned to this organization in the NPPES registry on August 25, 2021.

Where is Grand River Periodontics, PLLC located?

Grand River Periodontics, PLLC is located at 3050 Ivanrest Ave SW Ste B, Grandville, MI 49418. The listed phone number is (616) 531-1554.

What is Grand River Periodontics, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Grand River Periodontics, PLLC was last updated on August 25, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.