Brian M Grisdela DDS PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

BRIAN M GRISDELA DDS PLLC

Practice address

214 N Bridge St
Dimondale, MI 48821-9233

Phone

(517) 646-8226

NPI assigned

Jun 9, 2023

Last updated

Apr 23, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brian Michael Grisdela, DDSNPI 1669992749

Title

General Dentist

Phone

(517) 449-0005

Specialties & licenses 1

Addresses

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brian Michael Grisdela, DDS

  • General Practice Dentistry
  • Dimondale, MI
  • NPI 1669992749
  NPD Authorized official
• Timothy M Bair, D.D.S.

  • General Practice Dentistry
  • Dimondale, MI
  • NPI 1932251741
  NPD (past)
• Kristy L Beck-Bair, D.D.S.

  • General Practice Dentistry
  • Dimondale, MI
  • NPI 1063564862
  NPD (past)

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

{
    "created_epoch": "1686268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745366400000",
    "number": "1093499121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 567",
            "city": "DIMONDALE",
            "state": "MI",
            "postal_code": "488210567",
            "telephone_number": "517-646-8226",
            "fax_number": "517-646-7545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 N BRIDGE ST",
            "city": "DIMONDALE",
            "state": "MI",
            "postal_code": "488219233",
            "telephone_number": "517-646-8226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN M GRISDELA DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-09",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A",
        "authorized_official_last_name": "GRISDELA",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "517-449-0005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nadir Galal Abdelrahman, M.D.
• Advanced Speech-Language Services
• Daniel Robert Bair, DDS
• Timothy M Bair, D.D.S.
• Kristy L Beck-Bair, D.D.S.
• Erika Clark
• Rebecca J Coccia, N.P.
• Denise Lynne Cooper, CNP
• Diamondale Nursing Care Center, LLC (Dimondale Nursing Care Center)
• Echo Integrative (Echo Integrative Nonprofit)

• Dental Clinic/Center in Dimondale, MI
• Providers in Dimondale, MI by specialty
• Dental Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; 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.