Greenville Family Dental, PLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

GREENVILLE FAMILY DENTAL, PLC

Doing business as

Greenville Family Dental

Practice address

1717 W Washington St
Greenville, MI 48838-2625

Phone

(616) 754-8631

NPI assigned

Feb 14, 2018

Organization subpart

No

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

Authorized official

Name

Tara Meachum, DDSNPI 1073545810

Title

Owner

Phone

(616) 754-8631

Specialties & licenses 1

Addresses

Other names 1

• Greenville Family Dental Doing business as

Locations

Practitioners 2

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.

• Tara Lynn Meachum, DDS

  • General Practice Dentistry
  • Greenville, MI
  • NPI 1073545810
  NPD Authorized official
• Kayla Muxlow Fisher, DMD

  • General Practice Dentistry
  • Lowell, MI
  • NPI 1245890649
  NPD (past)

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

{
    "created_epoch": "1518566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518566400000",
    "number": "1699275909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 W WASHINGTON ST",
            "city": "GREENVILLE",
            "state": "MI",
            "postal_code": "488382625",
            "telephone_number": "616-754-8631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 W WASHINGTON ST",
            "city": "GREENVILLE",
            "state": "MI",
            "postal_code": "488382625",
            "telephone_number": "616-754-8631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENVILLE FAMILY DENTAL, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-14",
        "last_updated": "2018-02-14",
        "status": "A",
        "authorized_official_last_name": "MEACHUM",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-754-8631",
        "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": [
        {
            "organization_name": "Greenville Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Grandview Foot and Ankle PC (Stacy A Uebele DPM)
• Vanessa Graves, IBCLC
• Matthew Michael Green, FNP-C
• Greenville Care Center, Inc (Metron of Greenville)
• Greenville Care Center, Inc.
• Greenville Family Dentistry (Flat River Family Dentistry)
• Greenville Family Foot Care P C
• Steven Michael Greenway, PA-C
• Gro Optical, LLC (G.R.O. Optical)
• Guardian Mobility LLC

• Dentist in Greenville, MI
• Providers in Greenville, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2018; 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.