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GRAPEVINE DENTURE SERVICE
NPI 1902019623
Dentist - General Practice in Traverse City, MI

Active since May 08, 2007
865 US HIGHWAY 31 S, TRAVERSE CITY, MI 49684(231) 943-8409 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Grapevine Denture Service NPPES

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

GRAPEVINE DENTURE SERVICE (NPI 1902019623) is a healthcare organization registered as a general practice in Traverse City, Michigan and active in the NPI registry since May 2007. The organization lists Jack D Ross, Dentist, as its authorized official.

NPPES Registry Identity

NPI1902019623
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameGRAPEVINE DENTURE SERVICE
Location Address865 US HIGHWAY 31 STraverse City, MI 49684-8716
Mailing Address865 Us Highway 31 STraverse City, MI 49684-8716 · (231) 943-8409
Phone(231) 943-8409
Organization SubpartNo
Authorized OfficialJack D RossDentist · (231) 943-8409
Enumeration DateMay 8, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1902019623 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 · 08128
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.
865 US HIGHWAY 31 S, Traverse City, MI 49684
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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

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 Grapevine Denture Service's NPI number?

The NPI number for Grapevine Denture Service is 1902019623. It was assigned to this organization in the NPPES registry on May 8, 2007.

Where is Grapevine Denture Service located?

Grapevine Denture Service is located at 865 Us Highway 31 S, Traverse City, MI 49684. The listed phone number is (231) 943-8409.

What is Grapevine Denture Service'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 Grapevine Denture Service was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.