Grandville Family Dental Care, P.C.

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

GRANDVILLE FAMILY DENTAL CARE, P.C.

Practice address

3100 Wilson Ave SW
Grandville, MI 49418-1200

Phone

(616) 534-7138

Fax

(616) 534-7174

NPI assigned

Apr 26, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Derek M Draft, DDS

Title

VP Treas

Phone

(616) 534-7138

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043430598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 WILSON AVE SW",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494181200",
            "telephone_number": "616-534-7138",
            "fax_number": "616-534-7174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 WILSON AVE SW",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494181200",
            "telephone_number": "616-534-7138",
            "fax_number": "616-534-7174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANDVILLE FAMILY DENTAL CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DRAFT",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VP TREAS",
        "authorized_official_telephone_number": "616-534-7138",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grand River Periodontics, PLLC
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• Grandville Chiropractic Clinic
• Grandville Endodontics
• Grandville Eye Care, P.C.
• Grandville Foot and Ankle, P.C.
• Grandville Pediatric Dentristry
• Grandville Pediatrics, P.C.
• Emily Ann Grantham, DNP
• Bryan David Gray, LPTA

• Dentist in Grandville, MI
• Providers in Grandville, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.