OrganizationActive
Edp of Mi, PC
NPI 1811403959 · Dental Clinic/Center · Grand Rapids, MI
Edp of Mi, PC is a Dental Clinic/Center organization in Grand Rapids, MI (NPI 1811403959).
Provider details
- NPI number
- 1811403959
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Roseanne Brunenkant, Director of Integrations(312) 937-3619
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(78/100 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
7 documented practice locations
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
1500 44th St Se
Grand Rapids, MI 49508-4651
Phone: (616) 532-9070
Street-level locationGet directions
Mailing address
141 W Jackson Blvd Ste 210
Chicago, IL 60604-3048
Additional practice locations (6)
- 50 North AveBattle Creek, MI 49017-3415Phone: (269) 968-4024
- 4345 Sawkaw Dr Ne Ste 4Grand Rapids, MI 49525-6517Phone: (616) 364-4219
- 8080 Moorsbridge Rd Ste 101Portage, MI 49024-4422Phone: (269) 323-3020
- 27115 Gratiot AveRoseville, MI 48066-2900Phone: (248) 354-1555
- 19178 W 10 Mile RdSouthfield, MI 48075-2445Phone: (248) 354-1555
- 2300 Haggerty Rd Ste 2040West Bloomfield, MI 48323-2189Phone: (248) 624-0008
Registry dates
- Enumerated
- 2017-12-27
- Last updated
- 2019-09-16
Frequently asked questions
- What is Edp of Mi, PC's NPI number?
- Edp of Mi, PC's National Provider Identifier (NPI) is 1811403959, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Edp of Mi, PC?
- Edp of Mi, PC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Edp of Mi, PC located?
- Edp of Mi, PC's practice location on file with NPPES is 1500 44th St Se, Grand Rapids, MI 49508-4651.
- What is Edp of Mi, PC's phone number?
- The practice phone number listed in the NPPES registry for Edp of Mi, PC is (616) 532-9070.
- Who is the authorized official for Edp of Mi, PC?
- The authorized official listed on Edp of Mi, PC's NPPES record is Roseanne Brunenkant, Director of Integrations. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Edp of Mi, PC's NPI active?
- Yes — Edp of Mi, PC's NPI (1811403959) is active in the NPPES registry as of the last update on 2019-09-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.