RESTORE PERIODONTICS AND IMPLANT DENTISTRY PLLC
NPI 1346976362
Dentist - Periodontics in Grand Rapids, MI

Q: What is Restore Periodontics And Implant Dentistry PLLC's specialty?

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

Active since August 01, 2022

2017 EASTCASTLE DR SE STE C, GRAND RAPIDS, MI 49508(616) 826-8167 Get Directions Write a Review

NPPES record last updated: August 1, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Restore Periodontics And Implant Dentistry Pllc NPPES

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

RESTORE PERIODONTICS AND IMPLANT DENTISTRY PLLC (NPI 1346976362) is a healthcare organization registered as a periodontics in Grand Rapids, Michigan and active in the NPI registry since August 2022. The organization maintains a secondary practice location in Grand Rapids and lists Jordan Dempsey, Owner, as its authorized official.

NPPES Registry Identity

NPI1346976362

Entity TypeOrganization

Primary Taxonomy1223P0300X

Legal Business NameRESTORE PERIODONTICS AND IMPLANT DENTISTRY PLLC

Location Address2017 EASTCASTLE DR SE STE CGrand Rapids, MI 49508-8872

Mailing Address2017 Eastcastle Dr Se Ste CGrand Rapids, MI 49508-8872 · (616) 826-8167

Phone(616) 826-8167

Organization SubpartNo

Authorized OfficialJordan DempseyOwner · (616) 826-8167

Enumeration DateAugust 1, 2022

NPPES CertifiedAugust 1, 2022

✔ NPI 1346976362 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.

2017 EASTCASTLE DR SE STE C, Grand Rapids, MI 49508

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Secondary Practice Location 1

Location 12017 Eastcastle Dr SE Ste CGrand Rapids, MI 49508-8872 · Phone (616) 826-8167

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 Restore Periodontics And Implant Dentistry PLLC's NPI number?

The NPI number for Restore Periodontics And Implant Dentistry PLLC is 1346976362. It was assigned to this organization in the NPPES registry on August 1, 2022.

Where is Restore Periodontics And Implant Dentistry PLLC located?

Restore Periodontics And Implant Dentistry PLLC is located at 2017 Eastcastle Dr SE Ste C, Grand Rapids, MI 49508. The listed phone number is (616) 826-8167.

What is Restore Periodontics And Implant Dentistry 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 Restore Periodontics And Implant Dentistry PLLC was last updated on August 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.