OrganizationActive
Grand River Pediatric Dentistry PLLC
NPI 1174175996 · Pediatric Dentistry · Jenison, MI
Grand River Pediatric Dentistry PLLC is a Pediatric Dentistry organization in Jenison, MI (NPI 1174175996).
Provider details
- NPI number
- 1174175996
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Meghan Condit, Member(734) 250-4494
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
7758 20th Ave
Jenison, MI 49428
Phone: (734) 250-4494
Street-level locationGet directions
Mailing address
7758 20th Ave
Jenison, MI 49428-8524
Registry dates
- Enumerated
- 2019-07-11
- Last updated
- 2019-12-18
- Certified
- 2019-12-18
Frequently asked questions
- What is Grand River Pediatric Dentistry PLLC's NPI number?
- Grand River Pediatric Dentistry PLLC's National Provider Identifier (NPI) is 1174175996, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Grand River Pediatric Dentistry PLLC?
- Grand River Pediatric Dentistry PLLC is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Grand River Pediatric Dentistry PLLC located?
- Grand River Pediatric Dentistry PLLC's practice location on file with NPPES is 7758 20th Ave, Jenison, MI 49428.
- What is Grand River Pediatric Dentistry PLLC's phone number?
- The practice phone number listed in the NPPES registry for Grand River Pediatric Dentistry PLLC is (734) 250-4494.
- Who is the authorized official for Grand River Pediatric Dentistry PLLC?
- The authorized official listed on Grand River Pediatric Dentistry PLLC's NPPES record is Meghan Condit, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Grand River Pediatric Dentistry PLLC's NPI active?
- Yes — Grand River Pediatric Dentistry PLLC's NPI (1174175996) is active in the NPPES registry as of the last update on 2019-12-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.