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

Kingma Pediatric Dentistry PLLC

Organization Pediatric Dentistry · NPI 1811465990

Kingma Pediatric Dentistry PLLC is a Pediatric Dentistry in Grand Rapids, Michigan. Registered with an NPI since 2018.

In the registry since
2018
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

1179 E Paris Ave SE Ste 130
Grand Rapids, MI 49546-3682
Phone: (616) 942-9840
Fax: (616) 942-0170
Show map & directions

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

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X

Record details

NPI number1811465990
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amanda Merren — Office Manager · (616) 551-9701
NPI enumeratedNovember 7, 2018
Last updated in NPPESNovember 7, 2018
Mailing address1179 E Paris Ave Se Ste 130, Grand Rapids, MI 49546-3682

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