GRANDVILLE PEDIATRIC DENTRISTRY
NPI 1891718284
Dentist - Pediatric Dentistry in Grandville, MI

Active since July 26, 2006
3131 44TH ST SW, GRANDVILLE, MI 49418(616) 531-3430 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Dentist
  • Pediatric Dentistry

About GRANDVILLE PEDIATRIC DENTRISTRY

This page provides the complete NPI Profile along with additional information for Grandville Pediatric Dentristry, a provider established in Grandville, Michigan operating as a Dentist, focusing in pediatric dentistry . The healthcare provider is registered in the NPI registry with number 1891718284 assigned on July 2006. The practitioner's primary taxonomy code is 1223P0221X with license number 17118 (MI). The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Michael Brian Demeter Dds (President)

NPI
1891718284 Verify this NPI
Provider Name
GRANDVILLE PEDIATRIC DENTRISTRY
Entity Type
Organization
Location Address
3131 44TH ST SW GRANDVILLE, MI 49418
Location Phone
(616) 531-3430
Mailing Address
3131 44TH ST SW GRANDVILLE, MI 49418
Mailing Phone
(616) 531-3430
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-26-2006
Last Update Date
08-22-2020
Code Navigator

A dentist like Grandville Pediatric Dentristry is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist Pediatric Dentistry

Taxonomy Code
1223P0221X
Type
Dental Providers
License No.
17118
License State
MI
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MICHAEL BRIAN DEMETER DDS

Authorized Official Title
PRESIDENT
Authorized Official Phone
(616) 531-3430

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Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Dentist (Pediatric Dentistry)
3131 44TH ST SW
GRANDVILLE, MI 49418
Dentist (Pediatric Dentistry)
3131 44TH ST SW
GRANDVILLE, MI 49418
Clinic/Center (Dental)
3131 44TH ST SW
GRANDVILLE, MI 49418
Dentist (Orthodontics and Dentofacial Orthopedics)
3131 44TH ST SW
GRANDVILLE, MI 49418

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1891718284, enumerated as an "organization" on July 26, 2006.

The provider is located at 3131 44TH ST SW GRANDVILLE, MI 49418 and the phone number is (616) 531-3430.

Dentist with taxonomy code 1223P0221X and a focus in Pediatric Dentistry.