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RIVERTOWN DENTAL EXCELLENCE
NPI 1558633909
Dentist in Grandville, MI

Active since February 01, 2012
4565 WILSON AVE SW, SUITE 2A, GRANDVILLE, MI 49418(616) 538-0770(616) 538-0359 Get Directions Write a Review

NPPES record last updated: February 1, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Rivertown Dental Excellence NPPES

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

RIVERTOWN DENTAL EXCELLENCE (NPI 1558633909) is a healthcare organization registered as a dentist in Grandville, Michigan and active in the NPI registry since February 2012. The organization lists Jared M Van Ittersum, Owner, as its authorized official.

NPPES Registry Identity

NPI1558633909
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameRIVERTOWN DENTAL EXCELLENCE
Location Address4565 WILSON AVE SW, SUITE 2AGrandville, MI 49418-2371
Mailing Address4565 Wilson Ave Sw, Suite 2aGrandville, MI 49418-2371 · (616) 538-0770 · Fax (616) 538-0359
Phone(616) 538-0770
Fax(616) 538-0359
Organization SubpartNo
Authorized OfficialJared M Van IttersumOwner · (616) 538-0770
Enumeration DateFebruary 1, 2012
✔ NPI 1558633909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MI · 2901019772
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
4565 WILSON 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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company, UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 10

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

GRACE HAVEN COUNSELING, LLC
Social Worker (Clinical)
4565 WILSON AVE SW, STE. 4A
GRANDVILLE, MI 49418
Kent County (616) 745-2387
TRENTON DUANE MORELL LLMFT, M.S.
Marriage & Family Therapist
4565 WILSON AVE SW
GRANDVILLE, MI 49418
Kent County (616) 591-9400
DR. ABRAHAM BILYEU PHD
Psychologist (Counseling)
4565 WILSON AVE SW
GRANDVILLE, MI 49418
Kent County (616) 528-0354
KATHRIN HOWERTON LMSW
Social Worker (Clinical)
4565 WILSON AVE SW
GRANDVILLE, MI 49418
Kent County (616) 591-9400
PAMELA A HILL LMSW
Social Worker (Clinical)
4565 WILSON AVE SW
GRANDVILLE, MI 49418
Kent County (616) 318-4575
KATHY REBH MA, LPC
Counselor (Professional)
4565 WILSON AVE SW
GRANDVILLE, MI 49418
Kent County (616) 893-2699
MS. KERRY JO PRIOR LPC
Counselor (Professional)
4565 WILSON AVE SW, STE 1A
GRANDVILLE, MI 49418
Kent County (616) 551-2139
MRS. LAURIE GRACE STICKLER P.T.
Physical Therapist
4565 WILSON AVE SW, STE 5A
GRANDVILLE, MI 49418
Kent County (616) 975-9078

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 Rivertown Dental Excellence's NPI number?

The NPI number for Rivertown Dental Excellence is 1558633909. It was assigned to this organization in the NPPES registry on February 1, 2012.

Where is Rivertown Dental Excellence located?

Rivertown Dental Excellence is located at 4565 Wilson Ave SW Suite 2A, Grandville, MI 49418. The listed phone number is (616) 538-0770.

What is Rivertown Dental Excellence's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Rivertown Dental Excellence accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company and UnitedHealthcare list Rivertown Dental Excellence as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Rivertown Dental Excellence was last updated on February 1, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.