Kentwood Family Dental Care, PLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

KENTWOOD FAMILY DENTAL CARE, PLC

Practice address

4611 N Breton CT SE
Kentwood, MI 49508-5211

Phone

(616) 612-1176

NPI assigned

Sep 14, 2020

Organization subpart

No

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

Authorized official

Name

Britney Dice

Title

Office Manager

Phone

(616) 437-5581

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.

• Ryan Todd Brunworth, DDS

  • General Practice Dentistry
  • Whitehall, MI
  • NPI 1699885269
  NPD

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

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626048000000",
    "number": "1346855665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4611 N BRETON CT SE",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495085211",
            "telephone_number": "616-612-1176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4611 N BRETON CT SE",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495085211",
            "telephone_number": "616-612-1176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTWOOD FAMILY DENTAL CARE, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-14",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A",
        "authorized_official_last_name": "DICE",
        "authorized_official_first_name": "BRITNEY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "616-437-5581"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Merie Keeler
• Pamela Denise Keenan, AUDIOLOGIST MA.,CCCA
• Jordan M Kelley
• Allison Kellogg
• Bethany Kemler
• Kentwood Operations, LLC (Elmcroft of Kentwood)
• Kentwood Pharmacy
• Kentwood Physical Therapy, PLLC
• Keren Home Care Solutions LLC
• Kevin a. Coe D.D.S., PC

• Dental Clinic/Center in Kentwood, MI
• Providers in Kentwood, 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 Jul 12, 2021; 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.