DENTAL GROUP ASSOCIATES PC (NPI# 1487128120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487128120 |
| Entity Type | Organization |
| Organization Name | DENTAL GROUP ASSOCIATES PC |
| Practice Address |
4505 Cascade Rd Se # B Grand Rapids MI 49546-8381 |
| Mailing Address |
128 Columbus Ave Grand Haven MI 49417-1224 |
| Practice Telephone | 6162682090 |
| Mailing Telephone | 6162682092 |
| Enumeration Date | 2019-01-16 |
| Last Update Date | 2020-06-16 |
| Authorized Official Name | LISA PAPES (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 6162682092 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
| Street Address |
4505 CASCADE RD SE # B |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49546-8381 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437762986 | Amanda Mae Ostrom | Speech-Language Pathologist | 710 Kenmore Ave Se, #110, Grand Rapids, MI 49546 | 2020-08-25 |
| 1063075562 | Kelly Lynn Ibarra | Counselor | 4467 Cascade Road Se, Suite #4479, Grand Rapids, MI 49546 | 2019-04-19 |
| 1891257036 | Jessica Matthews LLC | Counselor | 4127 Embassy Drive Se, Grand Rapids, MI 49546 | 2019-04-05 |
| 1326518531 | Neah Morgan | Technician | 4220 Burton St Se, Grand Rapids, MI 49546 | 2018-11-29 |
| 1316430267 | Michael John Benskey | Case Manager/Care Coordinator | 4065 Saladin St Se, Grand Rapids, MI 49546 | 2018-06-14 |
| 1679062772 | Smile Cascade, P.C. | Clinic/Center | 4505 Cascade Rd Se # A, Grand Rapids, MI 49546 | 2018-05-03 |
| 1720583289 | Jeromy Krogman | Counselor | 826 Parchment Drive Se, Grand Rapids, MI 49546 | 2018-03-27 |
| 1841792660 | Affordable Hearing Clinic | Hearing Instrument Specialist | 833 Kenmoor Ave Se Ste G, Grand Rapids, MI 49546 | 2018-03-07 |
| 1689176133 | Kelly Pines | Physical Therapist | 625 Kenmoor Ave Suite 306, Grand Rapids, MI 49546 | 2018-03-01 |
| 1467971440 | Deanna Elizabeth Saenz | Social Worker | 2100 Raybrook St Se Ste 300, Grand Rapids, MI 49546 | 2017-09-12 |
| Find all providers in zip 49546 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184194433 | Pediatric Dental Specialists of West Michigan | Dentist | 2155 E Paris Ave Se Ste 120, Grand Rapids, MI 49546-6142 | 2018-11-29 |
| 1811465990 | Kingma Pediatric Dentistry Pllc | Dentist | 1179 E Paris Ave Se Ste 130, Grand Rapids, MI 49546-3682 | 2018-11-07 |
| 1568976017 | Amy K. Deyoung, Dds, Ms, PC Pediatric Dentistry | Dentist | 3297 Eagle Run Dr. Ne, Grand Rapids, MI 49525 | 2017-11-20 |
| 1255792636 | Christopher Powell | Dentist | 1750 Grand Ridge Ct Ne Ste 202, Grand Rapids, MI 49525 | 2016-03-14 |
| 1467714956 | Daniel O'callaghan | Dentist | 1559 68th St Se, Suite A, Grand Rapids, MI 49508-7010 | 2012-06-12 |
| 1497860191 | Aimee Christine Valleau-hier | Dentist | 2000 43rd St Se, Suite B, Grand Rapids, MI 49508-8700 | 2006-08-20 |
| 1386683530 | Amy Kay Deyoung | Dentist | 3297 Eagle Run Dr Ne, Grand Rapids, MI 49525-7050 | 2006-06-05 |
| 1386696672 | Gary Alvin Cook | Dentist | 2017 Eastcastle Se, Suite A, Grand Rapids, MI 49508 | 2006-05-16 |
| 1710540398 | Mitten Kids Dentistry Cascade Plc | Dentist | 1179 E Paris Ave Se Ste 130, Grand Rapids, MI 49546-3682 | 2019-04-18 |
| 1306213814 | Gaines Pediatric Dentistry Pllc | Dentist | 1559 68th St Se, Grand Rapids, MI 49508-7015 | 2015-09-01 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49546 |
Please comment or provide details below to improve the information on DENTAL GROUP ASSOCIATES PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.