Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Grand Ridge Family Dentistry

Organization Dental Clinic/Center · NPI 1023627163

Grand Ridge Family Dentistry provides Dental Clinic/Center services in Grand Rapids, Michigan. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

3350 Grand Ridge Dr NE
Grand Rapids, MI 49525-7071
Phone: (616) 447-7800
Fax: (616) 447-9611
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1023627163
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Lewis — Proprietor · (616) 447-7800
NPI enumeratedJuly 24, 2020
Last updated in NPPESJuly 24, 2020
Certification dateJuly 24, 2020
Mailing address3350 Grand Ridge Dr Ne, Grand Rapids, MI 49525-7071

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