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WEST MICHIGAN PEDATRIC DENTISTRY, LLC
NPI 1942327259
Dentist - Pediatric Dentistry in Holland, MI

Active since March 23, 2007
845 E. 16TH ST, HOLLAND, MI 49423(616) 392-2381(616) 392-3748 Get Directions Write a Review

NPPES record last updated: September 24, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 24, 2021, Aug 22, 2020 (2 updates tracked since 2020).

About West Michigan Pedatric Dentistry, Llc NPPES

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

WEST MICHIGAN PEDATRIC DENTISTRY, LLC (NPI 1942327259) is a healthcare organization registered as a pediatric dentistry in Holland, Michigan and active in the NPI registry since March 2007. The organization lists Kathy Wissink, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1942327259
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameWEST MICHIGAN PEDIATRIC DENTISTRY
Location Address845 E. 16TH STHolland, MI 49423
Mailing Address845 E. 16th StHolland, MI 49423 · (616) 392-2381 · Fax (616) 392-3748
Phone(616) 392-2381
Fax(616) 392-3748
Organization SubpartNo
Authorized OfficialKathy WissinkOffice Manager · (616) 392-2381
Enumeration DateMarch 23, 2007
Last NPPES UpdateSeptember 24, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2021
✔ NPI 1942327259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in MI · 2901012323
Definition
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.
845 E. 16TH ST, Holland, MI 49423
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Other Names 1

Other NameWest Michigan Pedatric Dentistry, Llc

Other Identifiers 2

Medicaid4383607-12MI
Medicaid4383590-12MI

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

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

DANIEL L BOLT DDS
Dentist (Pediatric Dentistry)
845 E. 16TH ST
HOLLAND, MI 49423
Allegan County (616) 392-2381

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 West Michigan Pediatric Dentistry's NPI number?

The NPI number for West Michigan Pediatric Dentistry is 1942327259. It was assigned to this organization in the NPPES registry on March 23, 2007. The provider is also known as West Michigan Pedatric Dentistry, LLC.

Where is West Michigan Pediatric Dentistry located?

West Michigan Pediatric Dentistry is located at 845 E. 16th St, Holland, MI 49423. The listed phone number is (616) 392-2381.

What is West Michigan Pediatric Dentistry's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for West Michigan Pediatric Dentistry was last updated on September 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.