IndividualActive
Richard Panek, DDS
NPI 1740371087 · Oral & Maxillofacial Surgery (D.M.D.) · Grand Rapids, MI
Provider details
- NPI number
- 1740371087
- Entity type
- Individual
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 2901015266 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4349 Sawkaw Dr Ne
Grand Rapids, MI 49525-1768
Phone: (616) 361-7327
Approximate (ZIP-level) locationGet directions
Mailing address
4349 Sawkaw Dr Ne
Grand Rapids, MI 49525-1768
Registry dates
- Enumerated
- 2006-09-28
- Last updated
- 2022-02-04
- Certified
- 2021-11-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.