OrganizationActive
Dj Edgerle, DDS, PC
NPI 1295360428 · General Practice Dentistry · Grand Rapids, MI
Dj Edgerle, DDS, PC is a General Practice Dentistry organization in Grand Rapids, MI (NPI 1295360428).
Provider details
- NPI number
- 1295360428
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Defoe Edgerle, Owner(616) 949-2720
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(65/100 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
751 Kenmoor Ave Se Ste G
Grand Rapids, MI 49546-2391
Phone: (616) 949-2720
Fax: (616) 949-9320
Street-level locationGet directions
Mailing address
751 Kenmoor Ave Se Ste G
Grand Rapids, MI 49546-2391
Registry dates
- Enumerated
- 2020-03-09
- Last updated
- 2020-03-09
- Certified
- 2020-03-09
Frequently asked questions
- What is Dj Edgerle, DDS, PC's NPI number?
- Dj Edgerle, DDS, PC's National Provider Identifier (NPI) is 1295360428, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dj Edgerle, DDS, PC?
- Dj Edgerle, DDS, PC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Dj Edgerle, DDS, PC located?
- Dj Edgerle, DDS, PC's practice location on file with NPPES is 751 Kenmoor Ave Se Ste G, Grand Rapids, MI 49546-2391.
- What is Dj Edgerle, DDS, PC's phone number?
- The practice phone number listed in the NPPES registry for Dj Edgerle, DDS, PC is (616) 949-2720.
- Who is the authorized official for Dj Edgerle, DDS, PC?
- The authorized official listed on Dj Edgerle, DDS, PC's NPPES record is Defoe Edgerle, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dj Edgerle, DDS, PC's NPI active?
- Yes — Dj Edgerle, DDS, PC's NPI (1295360428) is active in the NPPES registry as of the last update on 2020-03-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.