Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Detroit - Grand River PC

Organization Dentist · NPI 1912180225

Detroit - Grand River PC is a Dentist in Detroit, Michigan. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9685 Grand River Ave
Detroit, MI 48204-2139
Phone: (313) 834-4900
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1912180225
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mike Cole — Insurance Director · (727) 726-1611
NPI enumeratedDecember 10, 2007
Last updated in NPPESDecember 10, 2007
Mailing address9685 Grand River Ave, Detroit, MI 48204-2139

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