Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

C PHILIP DOEZEMA DDS
NPI 1902877988
Dentist in Grand Rapids, MI

Q: What is C Doezema's NPI number?

The NPI number for C Doezema is 1902877988. It was assigned to this individual provider in the NPPES registry on January 30, 2006.

Q: What is C Doezema's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for C Doezema was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 55 days 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.

Active since January 30, 2006

2003 BURTON SE, GRAND RAPIDS, MI 49506(616) 243-7836(616) 243-7874 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About C Philip Doezema Dds NPPES

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

C PHILIP DOEZEMA DDS (NPI 1902877988) is an individual dentist in Grand Rapids, Michigan, licensed in Michigan (29010112283) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1902877988

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameC PHILIP DOEZEMACredential: DDS

Location Address2003 BURTON SEGrand Rapids, MI 49506-4600

Mailing Address2003 Burton SeGrand Rapids, MI 49506-4600 · (616) 243-7836 · Fax (616) 243-7874

Phone(616) 243-7836

Fax(616) 243-7874

Sole ProprietorNo

Enumeration DateJanuary 30, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1902877988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in MI · 29010112283

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.

2003 BURTON SE, Grand Rapids, MI 49506

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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 C Doezema's NPI number?

The NPI number for C Doezema is 1902877988. It was assigned to this individual provider in the NPPES registry on January 30, 2006.

Where is C Doezema located?

C Doezema practices at 2003 Burton SE, Grand Rapids, MI 49506. The listed phone number is (616) 243-7836.

What is C Doezema's specialty?

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

When was this NPI record last updated?

The NPPES record for C Doezema was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 55 days 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.