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

North Park Family Dental PLLC

Organization Dentist · NPI 1407773872

North Park Family Dental PLLC provides Dentist services in Grand Rapids, Michigan. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

422 N Park St NE
Grand Rapids, MI 49525-2580
Phone: (616) 361-7265
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1407773872
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joshua Dame — Associate Dentist · (616) 361-7265
NPI enumeratedJuly 6, 2026
Last updated in NPPESJuly 6, 2026
Certification dateJuly 6, 2026
Mailing address422 N Park St Ne, Grand Rapids, MI 49525-2580

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