Peter a Garchow DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PETER A GARCHOW DDS PC

Doing business as

Dental South

Practice address

630 36TH St SW
Grand Rapids, MI 49509-4100

Phone

(616) 538-9020

Fax

(616) 538-5353

NPI assigned

Dec 15, 2021

Organization subpart

No

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

Authorized official

Name

Wendy Vantil

Title

Account Manager

Phone

(616) 538-9020

Specialties & licenses 1

Addresses

Other names 1

• Dental South Doing business as

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

{
    "created_epoch": "1639526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639526400000",
    "number": "1912666132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 36TH ST SW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495094100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 36TH ST SW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495094100",
            "telephone_number": "616-538-9020",
            "fax_number": "616-538-5353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER A GARCHOW DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-15",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A",
        "authorized_official_last_name": "VANTIL",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "ACCOUNT MANAGER",
        "authorized_official_telephone_number": "616-538-9020"
    },
    "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": "Dental South",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pes Case Management LLC
• Deborah Sue Peshka, N.P.
• Dayvea Pesola
• John David Pestenariu
• Romarys Petalta
• Diniwe Peter, RPT
• Peters Family Dentistry, PLLC
• Abigail Peters
• Alyson Peters
• Daniel Joseph Peters, DDS

• General Practice Dentistry in Grand Rapids, MI
• Providers in Grand Rapids, 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 Dec 15, 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.