Philip R Shriner, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901015885 Issued in MI

Practice address

6111 Peachtree Dr
Grand Ledge, MI 48837-8967

Phone

(517) 622-8443

Fax

(517) 622-4045

NPI assigned

May 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Philip R Shriner DDS PC

  • Dentist
  • Grand Ledge, MI
  • NPI 1437699550
  NPD (past) Authorized official

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1972553519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6111 PEACHTREE DR",
            "city": "GRAND LEDGE",
            "state": "MI",
            "postal_code": "488378967",
            "telephone_number": "517-622-8443",
            "fax_number": "517-622-4045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6111 PEACHTREE DR",
            "city": "GRAND LEDGE",
            "state": "MI",
            "postal_code": "488378967",
            "telephone_number": "517-622-8443",
            "fax_number": "517-622-4045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHRINER",
        "first_name": "PHILIP",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901015885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3079461",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brooke Selleck
• Julianna R Shaltry, MA, LPC, CAADC, NCC
• Shawn David Shaltry, LPC
• Tamara Rose Kujawa Shiflett, LMSW
• Karson James Shirey
• Jennifer Sidel
• Christine Ann-Avery Simon, RN
• Polly A Simon, LMT
• Craig Allan Skinner
• Kelly L. Skrzypchak, LMSW

• General Practice Dentistry in Grand Ledge, MI
• Providers in Grand Ledge, 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 13, 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.