First Fruits Dental, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

FIRST FRUITS DENTAL, PC

Practice address

1621 44TH St SW Ste 200
Wyoming, MI 49509-4387

Phone

(616) 532-9003

NPI assigned

Jul 26, 2017

Organization subpart

No

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

Authorized official

Name

Rachel Bruen

Title

HR

Phone

(616) 532-9003

Specialties & licenses 1

Addresses

Other names 1

• Bowtie Dental Doing business as

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

{
    "created_epoch": "1501027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1851815450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 44TH ST SW STE 200",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495094387",
            "telephone_number": "616-532-9003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 44TH ST SW STE 200",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495094387",
            "telephone_number": "616-532-9003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST FRUITS DENTAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-26",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BRUEN",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "HR",
        "authorized_official_telephone_number": "616-532-9003"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bowtie Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cindy Feuerstein, NP
• Tyson Alan Fey
• Samantha Figurski, LLP
• Fingleton Family Dentistry
• Iliana Mireye Fingleton, DDS
• Kelsey First
• Glenn Ludgate Fitkin IV, PT, DPT
• Fitt Chiropractic and Wellness, PLLC
• Melanie Rose Fleischer, PHARM.D.
• Sharon M Fleming, RD

• General Practice Dentistry in Wyoming, MI
• Providers in Wyoming, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.