Organization Active NPI

97 Smiles of Grand Rapids

  • Dentist
  • Grand Rapids, MI
National Provider Identifier
1891654612
Registry record updated Jan 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
97 SMILES OF GRAND RAPIDS
Practice address
2300 3 Mile Rd NE
Grand Rapids, MI 49505-3956
Phone
(616) 365-8699
NPI assigned
Jan 19, 2026
Last updated
Jan 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2026

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

Authorized official

Name
Susan Dunford
Title
Billing & Credentialing Manager
Phone
(313) 342-1997

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

2300 3 Mile Rd NE
Grand Rapids, MI 49505-3956

Mailing address

2300 3 Mile Rd NE
Grand Rapids, MI 49505-3956
Phone (616) 365-8699

National Provider Directory

National Provider Directory

Locations

2300 3 Mile Rd NE
Grand Rapids, MI 49505
Phone (616) 363-3712

NPI Registry JSON

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

{
    "created_epoch": "1768780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768780800000",
    "number": "1891654612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 3 MILE RD NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495053956",
            "telephone_number": "616-365-8699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 3 MILE RD NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495053956",
            "telephone_number": "616-365-8699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "97 SMILES OF GRAND RAPIDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-19",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-18",
        "status": "A",
        "authorized_official_last_name": "DUNFORD",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "BILLING & CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "313-342-1997"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2026; 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.