Standale Dental

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

STANDALE DENTAL

Practice address

3935 Lake Michigan Dr NW Ste 2
Grand Rapids, MI 49534-7844

Phone

(616) 453-7755

Fax

(616) 453-3103

NPI assigned

Feb 25, 2026

Organization subpart

No

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

Authorized official

Name

Robert Gerald Mull, DDSNPI 1639394000

Title

Dentist/Owner

Phone

(616) 453-7755

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Gerald Mull Jr., D.D.S.

  • Dentist
  • Grand Rapids, MI
  • NPI 1639394000
  NPD Authorized official

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

{
    "created_epoch": "1771977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771977600000",
    "number": "1184578221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3935 LAKE MICHIGAN DR NW STE 2",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495347844",
            "telephone_number": "616-453-7755",
            "fax_number": "616-453-3103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3935 LAKE MICHIGAN DR NW STE 2",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495347844",
            "telephone_number": "616-453-7755",
            "fax_number": "616-453-3103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANDALE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-25",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A",
        "authorized_official_last_name": "MULL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "GERALD",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "616-453-7755",
        "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": []
}

• Benjamin Stam
• Daniella J Stambaugh
• Gracie Linne Stamp
• Gregory Gordon Stancroff, RPH
• Standale Chiropractic PC
• Emily Standish, PHD
• Barbara E Stanford, MD
• Stange Clinic, PC
• Roan Stanifer
• Kathryn Rose Staniszewski

• Dentist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; 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.