| Grand Ridge Family Dentistry | |
|
3350 Grand Ridge Dr Ne Grand Rapids MI 49525-7071 | |
| (616) 447-7800 | |
| (616) 447-9611 |
| Full Name | Grand Ridge Family Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3350 Grand Ridge Dr Ne, Grand Rapids, Michigan |
| Authorized Official Name and Position | John Daniel Lewis (PROPRIETOR) |
| Authorized Official Contact | 6164477800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grand Ridge Family Dentistry 3350 Grand Ridge Dr Ne Grand Rapids MI 49525-7071 Ph: (616) 447-7800 | Grand Ridge Family Dentistry 3350 Grand Ridge Dr Ne Grand Rapids MI 49525-7071 Ph: (616) 447-7800 |
| NPI Number | 1023627163 |
|---|---|
| Provider Enumeration Date | 07/24/2020 |
| Last Update Date | 07/24/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023627163 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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Karen A O Rourke Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4250 Kalamazoo Se Ste 1, Grand Rapids, MI 49508 Phone: 616-455-7930 Fax: 616-455-9952 | |
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