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GLEN VALLEY DENTISTRY
NPI 1538100482
Dentist - General Practice in Caledonia, MI

Active since June 10, 2006
9041 N RODGERS CT SE, CALEDONIA, MI 49316(616) 891-8931(616) 891-9803 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Glen Valley Dentistry NPPES

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

GLEN VALLEY DENTISTRY (NPI 1538100482) is a healthcare organization registered as a general practice in Caledonia, Michigan and active in the NPI registry since June 2006. The organization lists Robin T. Vaughan, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1538100482
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameGLEN VALLEY DENTISTRY
Location Address9041 N RODGERS CT SECaledonia, MI 49316-7660
Mailing Address9041 N Rodgers Ct SeCaledonia, MI 49316-7660 · (616) 891-8931 · Fax (616) 891-9803
Phone(616) 891-8931
Fax(616) 891-9803
Organization SubpartNo
Authorized OfficialRobin T. VaughanOwner/dentist · (616) 891-8931
Enumeration DateJune 10, 2006
Last NPPES UpdateApril 20, 2008
✔ NPI 1538100482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MI · 2901014542
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
9041 N RODGERS CT SE, Caledonia, MI 49316
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Other Identifiers 3

OtherD801041MI · Bcbs Of Mi
Other846910MI · United Concordia #
Medicaid4836800MI

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 3

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

DR. ERIC D HANNAPEL D.D.S., M.S.
Dentist (Orthodontics and Dentofacial Orthopedics)
9041 N RODGERS CT SE
CALEDONIA, MI 49316
Kent County (616) 891-7272
DR. CHARLES T WENZEL DDS
Dentist (General Practice)
9041 N RODGERS CT SE
CALEDONIA, MI 49316
Kent County (616) 891-8931
MRS. ROBIN TERESA VAUGHAN D.D.S.
Dentist (General Practice)
9041 N RODGERS CT SE
CALEDONIA, MI 49316
Kent County (616) 891-8931

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 Glen Valley Dentistry's NPI number?

The NPI number for Glen Valley Dentistry is 1538100482. It was assigned to this organization in the NPPES registry on June 10, 2006.

Where is Glen Valley Dentistry located?

Glen Valley Dentistry is located at 9041 N Rodgers Ct SE, Caledonia, MI 49316. The listed phone number is (616) 891-8931.

What is Glen Valley Dentistry's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Glen Valley Dentistry was last updated on April 20, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.