Active NPI
Grutter Dental Services, PLLC
Doing business as Cannon Family Dentistry
- Dental Clinic/Center
- Rockford, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- GRUTTER DENTAL SERVICES, PLLC
- Doing business as
- Cannon Family Dentistry
- Practice address
- 6785 Myers Lake Ave NE Ste a
Rockford, MI 49341-7415 - Phone
- (616) 874-6040
- NPI assigned
- Sep 22, 2026
- Last updated
- Sep 22, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Baron Grutter, DDS
- Title
- Owner
- Phone
- (816) 866-0064
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
6785 Myers Lake Ave NE Ste a
Rockford, MI 49341-7415
Mailing address
6785 Myers Lake Ave NE Ste a
Rockford, MI 49341-7415
Phone (616) 874-6040
Other names 1
- Cannon Family Dentistry
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- General Practice Dentistry
- Rockford, MI
- NPI 1134440340
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790035200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790035200000",
"number": "1285546408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6785 MYERS LAKE AVE NE STE A",
"city": "ROCKFORD",
"state": "MI",
"postal_code": "493417415",
"telephone_number": "616-874-6040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6785 MYERS LAKE AVE NE STE A",
"city": "ROCKFORD",
"state": "MI",
"postal_code": "493417415",
"telephone_number": "616-874-6040"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRUTTER DENTAL SERVICES, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-22",
"last_updated": "2026-09-22",
"certification_date": "2026-09-22",
"status": "A",
"authorized_official_last_name": "GRUTTER",
"authorized_official_first_name": "BARON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "816-866-0064",
"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": [
{
"organization_name": "Cannon Family Dentistry",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Rockford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.