1. Home
  2. Directory
  3. Michigan
  4. Grandville
  5. Dentist
  6. NPI Profile

GRAND RIVER ENDODONTICS PC
NPI 1518360304
Dentist - Endodontics in Grandville, MI

Active since October 07, 2014
4211 PARKWAY PLACE DR SW, SUITE 104, GRANDVILLE, MI 49418(616) 249-3500(616) 249-3502 Get Directions Write a Review

NPPES record last updated: September 30, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Grand River Endodontics Pc NPPES

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

GRAND RIVER ENDODONTICS PC (NPI 1518360304) is a healthcare organization registered as an endodontics in Grandville, Michigan and active in the NPI registry since October 2014. The organization lists Sarah Lennan Masterson, Owner/endodontist, as its authorized official.

NPPES Registry Identity

NPI1518360304
Entity TypeOrganization
Primary Taxonomy1223E0200X
Legal Business NameGRAND RIVER ENDODONTICS PC
Location Address4211 PARKWAY PLACE DR SW, SUITE 104Grandville, MI 49418-2695
Mailing Address4211 Parkway Place Dr Sw, Suite 104Grandville, MI 49418-2695 · (616) 249-3500 · Fax (616) 249-3502
Phone(616) 249-3500
Fax(616) 249-3502
Organization SubpartNo
Authorized OfficialSarah Lennan MastersonOwner/endodontist · (616) 249-3500
Enumeration DateOctober 7, 2014
Last NPPES UpdateSeptember 30, 2017
✔ NPI 1518360304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License✔ Licensed in MI · 2901019457
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.
4211 PARKWAY PLACE DR SW, Grandville, MI 49418
Open in Google Maps ↗

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 20

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

GRACE NELSON
Social Worker
4211 PARKWAY PLACE DR SW
GRANDVILLE, MI 49418
Kent County (616) 222-3700
DR. JOSHUA MATLACK PSYD
Psychologist (Clinical)
4211 PARKWAY PLACE DR SW
GRANDVILLE, MI 49418
Kent County (616) 222-3700
ALENA KENYON LMSW
Social Worker (Clinical)
4211 PARKWAY PLACE DR SW
GRANDVILLE, MI 49418
Kent County (616) 222-3700
MICHELLE BERRY PA-C
Physician Assistant
4211 PARKWAY PLACE DR SW
GRANDVILLE, MI 49418
Kent County (616) 222-3700
JESSICA NICOLE GABERT
Behavior Analyst
4211 PARKWAY PLACE DR SW
GRANDVILLE, MI 49418
Kent County (616) 222-3700
SARAH HAGAN
Physician Assistant
4211 PARKWAY PLACE DR SW
GRANDVILLE, MI 49418
Kent County (616) 222-3700
ERICA MUNDY LPC
Counselor (Professional)
4211 PARKWAY PLACE DR SW
GRANDVILLE, MI 49418
Kent County (616) 222-3700
MRS. SHANITA THEIL MA LPC
Counselor (Professional)
4211 PARKWAY PLACE DR SW
GRANDVILLE, MI 49418
Kent County (616) 222-3700

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 Endodontics PC's NPI number?

The NPI number for Grand River Endodontics PC is 1518360304. It was assigned to this organization in the NPPES registry on October 7, 2014.

Where is Grand River Endodontics PC located?

Grand River Endodontics PC is located at 4211 Parkway Place Dr SW Suite 104, Grandville, MI 49418. The listed phone number is (616) 249-3500.

What is Grand River Endodontics PC'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 Grand River Endodontics PC was last updated on September 30, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.