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

Dj Edgerle, DDS, PC

Organization General Practice Dentistry · NPI 1295360428

Dj Edgerle, DDS, PC is a General Practice Dentistry in Grand Rapids, Michigan. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

751 Kenmoor Ave SE Ste G
Grand Rapids, MI 49546-2391
Phone: (616) 949-2720
Fax: (616) 949-9320
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1295360428
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Defoe Edgerle — Owner · (616) 949-2720
NPI enumeratedMarch 9, 2020
Last updated in NPPESMarch 9, 2020
Certification dateMarch 9, 2020
Mailing address751 Kenmoor Ave Se Ste G, Grand Rapids, MI 49546-2391

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