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

Stuart Pettijohn, DDS

Individual provider Dentist · NPI 1710207097

Stuart Pettijohn, DDS is a Dentist in Grand Rapids, Michigan. Works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2010
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4500 Cascade Rd SE Ste 100
Grand Rapids, MI 49546-3665
Phone: (616) 942-8301
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 128 S Broad St, Adrian, MI 49221-2723 — (517) 266-0651

Specialties & licences

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

Record details

NPI number1710207097
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJune 9, 2010
Last updated in NPPESJuly 21, 2022
Mailing address4500 Cascade Rd Se Ste 100, Grand Rapids, MI 49546-3665

Other providers in Grand Rapids