OrganizationActive
Grandville Endodontics
NPI 1508031808 · Endodontics · Grandville, MI
Grandville Endodontics is a Endodontics organization in Grandville, MI (NPI 1508031808).
Provider details
- NPI number
- 1508031808
- Entity type
- Organization
- Primary specialty
- EndodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Brian Licari, President(616) 531-0780
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
3100 Ivanrest Ave Sw
Suite 104
Grandville, MI 49418-2930
Phone: (616) 531-0780
Fax: (616) 531-4677
Street-level locationGet directions
Mailing address
3100 Ivanrest Ave Sw
Grandville, MI 49418-2930
Registry dates
- Enumerated
- 2008-04-28
- Last updated
- 2008-04-28
Frequently asked questions
- What is Grandville Endodontics's NPI number?
- Grandville Endodontics's National Provider Identifier (NPI) is 1508031808, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Grandville Endodontics?
- Grandville Endodontics is classified in the NPPES registry as Endodontics (Dental Providers).
- Where is Grandville Endodontics located?
- Grandville Endodontics's practice location on file with NPPES is 3100 Ivanrest Ave Sw, Grandville, MI 49418-2930.
- What is Grandville Endodontics's phone number?
- The practice phone number listed in the NPPES registry for Grandville Endodontics is (616) 531-0780.
- Who is the authorized official for Grandville Endodontics?
- The authorized official listed on Grandville Endodontics's NPPES record is Brian Licari, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Grandville Endodontics's NPI active?
- Yes — Grandville Endodontics's NPI (1508031808) is active in the NPPES registry as of the last update on 2008-04-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.