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

Restore Periodontics and Implant Dentistry PLLC

Organization Periodontics · NPI 1346976362

Restore Periodontics and Implant Dentistry PLLC is a Periodontics in Grand Rapids, Michigan. Works from 2 locations. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2017 Eastcastle Dr SE Ste C
Grand Rapids, MI 49508-8872
Phone: (616) 826-8167
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2017 Eastcastle Dr Se Ste C, Grand Rapids, MI 49508-8872 — (616) 826-8167

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X

Record details

NPI number1346976362
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jordan Dempsey — Owner · (616) 826-8167
NPI enumeratedAugust 1, 2022
Last updated in NPPESAugust 1, 2022
Certification dateAugust 1, 2022
Mailing address2017 Eastcastle Dr Se Ste C, Grand Rapids, MI 49508-8872

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