OrganizationActive
Stuart Pettijohn DDS PLLC
NPI 1295254035 · Dentist · Grand Rapids, MI
Stuart Pettijohn DDS PLLC is a Dentist organization in Grand Rapids, MI (NPI 1295254035).
Provider details
- NPI number
- 1295254035
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Stuart Pettijohn, Dentist(616) 890-0750
- License
- 2901020216 (MI)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
4500 Cascade Rd Se Ste 100
Grand Rapids, MI 49546-3665
Phone: (616) 942-8301
Street-level locationGet directions
Mailing address
4500 Cascade Rd Se Ste 100
Grand Rapids, MI 49546-3665
Registry dates
- Enumerated
- 2017-09-13
- Last updated
- 2022-07-21
Frequently asked questions
- What is Stuart Pettijohn DDS PLLC's NPI number?
- Stuart Pettijohn DDS PLLC's National Provider Identifier (NPI) is 1295254035, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Stuart Pettijohn DDS PLLC?
- Stuart Pettijohn DDS PLLC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Stuart Pettijohn DDS PLLC located?
- Stuart Pettijohn DDS PLLC's practice location on file with NPPES is 4500 Cascade Rd Se Ste 100, Grand Rapids, MI 49546-3665.
- What is Stuart Pettijohn DDS PLLC's phone number?
- The practice phone number listed in the NPPES registry for Stuart Pettijohn DDS PLLC is (616) 942-8301.
- Who is the authorized official for Stuart Pettijohn DDS PLLC?
- The authorized official listed on Stuart Pettijohn DDS PLLC's NPPES record is Stuart Pettijohn, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Stuart Pettijohn DDS PLLC's NPI active?
- Yes — Stuart Pettijohn DDS PLLC's NPI (1295254035) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.