Clore Family Dentistry

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

CLORE FAMILY DENTISTRY

Practice address

334 68TH St SW
Grand Rapids, MI 49548-7179

Phone

(616) 281-1331

Fax

(616) 281-4276

NPI assigned

Jun 22, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Jerry L. Clore, DMDNPI 1396853578

Title

Owner

Phone

(616) 281-1331

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Jerry L Clore, DMD

  • Dentist
  • Grand Rapids, MI
  • NPI 1396853578
  NPD Authorized official
• Jayson Lynn Clore, D.M.D.

  • General Practice Dentistry
  • Grand Rapids, MI
  • NPI 1386138881
  NPD (past)

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

{
    "created_epoch": "1592784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592784000000",
    "number": "1598381972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 68TH ST SW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495487179",
            "telephone_number": "616-281-1331",
            "fax_number": "616-281-4276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 68TH ST SW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495487179",
            "telephone_number": "616-281-1331",
            "fax_number": "616-281-4276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLORE FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-22",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A",
        "authorized_official_last_name": "CLORE",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-281-1331",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CLM Enterprises Inc.
• CLM Enterprises, Inc.
• Rebecca Mae Clodfelder Moorehead, LMSW
• Vivian Cloherty
• Deborah L Cloney, MD
• Emma Clore
• Jayson Lynn Clore, D.M.D.
• Jerry L Clore, DMD
• Allison Gill Close, MD
• Orrie N Close IV, M.D.

• Dental Clinic/Center in Grand Rapids, MI
• Providers in Grand Rapids, 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 Jun 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.