OrganizationActive
Tough Teeth & Great Gums
NPI 1104073410 · Public Health Dentistry · Comstock Park, MI
Provider details
- NPI number
- 1104073410
- Entity type
- Organization
- Primary specialty
- Public Health DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Amy Broekstra, Director(616) 460-6369
- License
- 2901010721 (MI)
Specialties & taxonomies
Dental Providers
Practice location
1866 10 Mile Rd Ne
Comstock Park, MI 49321-9669
Phone: (616) 460-6369
Approximate (ZIP-level) locationGet directions
Mailing address
1866 10 Mile Rd Ne
Comstock Park, MI 49321-9669
Registry dates
- Enumerated
- 2008-08-19
- Last updated
- 2008-08-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.