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

Grand River Pediatric Dentistry PLLC

Organization Pediatric Dentistry · NPI 1174175996

Grand River Pediatric Dentistry PLLC is a Pediatric Dentistry in Jenison, Michigan. Registered with an NPI since 2019.

In the registry since
2019
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

7758 20th Ave
Jenison, MI 49428
Phone: (734) 250-4494
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X

Record details

NPI number1174175996
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Meghan Condit — Member · (734) 250-4494
NPI enumeratedJuly 11, 2019
Last updated in NPPESDecember 18, 2019
Certification dateDecember 18, 2019
Mailing address7758 20th Ave, Jenison, MI 49428-8524

Other providers in Jenison