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MITTEN KIDS DENTISTRY CALEDONIA PLC
NPI 1457914038
Dentist - Pediatric Dentistry in Caledonia, MI

Active since April 18, 2019
6477 CHERRY MEADOW DR SE STE 4, CALEDONIA, MI 49316(616) 942-9840 Get Directions Write a Review

NPPES record last updated: April 18, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mitten Kids Dentistry Caledonia Plc NPPES

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

MITTEN KIDS DENTISTRY CALEDONIA PLC (NPI 1457914038) is a healthcare organization registered as a pediatric dentistry in Caledonia, Michigan and active in the NPI registry since April 2019. The organization lists Grady Randall, Owner, as its authorized official.

NPPES Registry Identity

NPI1457914038
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameMITTEN KIDS DENTISTRY CALEDONIA PLC
Location Address6477 CHERRY MEADOW DR SE STE 4Caledonia, MI 49316-7351
Mailing Address1179 E Paris Ave Se Ste 130Grand Rapids, MI 49546-3682 · (616) 552-9701
Phone(616) 942-9840
Organization SubpartNo
Authorized OfficialGrady RandallOwner · (616) 942-9840
Enumeration DateApril 18, 2019
✔ NPI 1457914038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
6477 CHERRY MEADOW DR SE STE 4, Caledonia, MI 49316
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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 Mitten Kids Dentistry Caledonia Plc's NPI number?

The NPI number for Mitten Kids Dentistry Caledonia Plc is 1457914038. It was assigned to this organization in the NPPES registry on April 18, 2019.

Where is Mitten Kids Dentistry Caledonia Plc located?

Mitten Kids Dentistry Caledonia Plc is located at 6477 Cherry Meadow Dr SE Ste 4, Caledonia, MI 49316. The listed phone number is (616) 942-9840.

What is Mitten Kids Dentistry Caledonia Plc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Mitten Kids Dentistry Caledonia Plc was last updated on April 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.