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

Pediatric Dentistry of Michigan PLLC

Organization Pediatric Dentistry · NPI 1831702695

Pediatric Dentistry of Michigan PLLC is a Pediatric Dentistry in Grand Rapids, Michigan. Registered with an NPI since 2020.

In the registry since
2020
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

3297 Eagle Run Dr NE
Grand Rapids, MI 49525-7050
Phone: (917) 597-6749
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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 number1831702695
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wanki Kim — Owner · (917) 597-6749
NPI enumeratedAugust 30, 2020
Last updated in NPPESJanuary 25, 2021
Certification dateJanuary 25, 2021
Mailing address3297 Eagle Run Dr Ne, Grand Rapids, MI 49525-7050

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