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

Stuart Pettijohn DDS PLLC

Organization Dentist · NPI 1295254035

Stuart Pettijohn DDS PLLC is a Dentist in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2017.

Licensed in
MI
In the registry since
2017
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

4500 Cascade Rd SE Ste 100
Grand Rapids, MI 49546-3665
Phone: (616) 942-8301
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 2901020216 (MI)

Record details

NPI number1295254035
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stuart Pettijohn — Dentist · (616) 890-0750
NPI enumeratedSeptember 13, 2017
Last updated in NPPESJuly 21, 2022
Mailing address4500 Cascade Rd Se Ste 100, Grand Rapids, MI 49546-3665

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