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GRANDVILLE ENDODONTICS
NPI 1508031808
Dentist - Endodontics in Grandville, MI

Active since April 28, 2008
3100 IVANREST AVE SW, SUITE 104, GRANDVILLE, MI 49418(616) 531-0780(616) 531-4677 Get Directions Write a Review

NPPES record last updated: April 28, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Grandville Endodontics NPPES

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

GRANDVILLE ENDODONTICS (NPI 1508031808) is a healthcare organization registered as an endodontics in Grandville, Michigan and active in the NPI registry since April 2008. The organization lists Brian Joseph Licari, President, as its authorized official.

NPPES Registry Identity

NPI1508031808
Entity TypeOrganization
Primary Taxonomy1223E0200X
Legal Business NameGRANDVILLE ENDODONTICS
Location Address3100 IVANREST AVE SW, SUITE 104Grandville, MI 49418-2930
Mailing Address3100 Ivanrest Ave Sw, Suite 104Grandville, MI 49418-2930 · (616) 531-0780 · Fax (616) 531-4677
Phone(616) 531-0780
Fax(616) 531-4677
Organization SubpartNo
Authorized OfficialBrian Joseph LicariPresident · (616) 531-0780
Enumeration DateApril 28, 2008
✔ NPI 1508031808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
3100 IVANREST AVE SW, Grandville, MI 49418
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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 6

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

ROBERT L EGGLESTON DDS
Dentist
3100 IVANREST AVE SW, SUITE 105
GRANDVILLE, MI 49418
Kent County (616) 538-3060
DR. JOHN P BOLTHOUSE DDS, MS
Dentist (Orthodontics and Dentofacial Orthopedics)
3100 IVANREST AVE SW
GRANDVILLE, MI 49418
Kent County (616) 538-1260
IVANREST FAMILY DENTISTRY
Dentist
3100 IVANREST AVE SW, SUITE 105
GRANDVILLE, MI 49418
Kent County (616) 538-3060
DR. PAUL F KORTE DDS
Dentist (Endodontics)
3100 IVANREST AVE SW, SUITE # 104
GRANDVILLE, MI 49418
Kent County (616) 531-0780
DR. BRIAN JOSEPH LICARI DDS
Dentist (Endodontics)
3100 IVANREST AVE SW, SUITE # 104
GRANDVILLE, MI 49418
Kent County (616) 531-0780
DR. DAVID M STRAND DDS,MS
Dentist (Oral and Maxillofacial Surgery)
3100 IVANREST AVE SW, SUITE 103
GRANDVILLE, MI 49418
Kent County (616) 538-6100

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 Grandville Endodontics's NPI number?

The NPI number for Grandville Endodontics is 1508031808. It was assigned to this organization in the NPPES registry on April 28, 2008.

Where is Grandville Endodontics located?

Grandville Endodontics is located at 3100 Ivanrest Ave SW Suite 104, Grandville, MI 49418. The listed phone number is (616) 531-0780.

What is Grandville Endodontics's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

When was this NPI record last updated?

The NPPES record for Grandville Endodontics was last updated on April 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.