OrganizationActive
Pediatric Dentistry of Michigan PLLC
NPI 1831702695 · Pediatric Dentistry · Grand Rapids, MI
Pediatric Dentistry of Michigan PLLC is a Pediatric Dentistry organization in Grand Rapids, MI (NPI 1831702695).
Provider details
- NPI number
- 1831702695
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Wanki Kim, Owner(917) 597-6749
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
3297 Eagle Run Dr Ne
Grand Rapids, MI 49525-7050
Phone: (917) 597-6749
Approximate (ZIP-level) locationGet directions
Mailing address
3297 Eagle Run Dr Ne
Grand Rapids, MI 49525-7050
Registry dates
- Enumerated
- 2020-08-30
- Last updated
- 2021-01-25
- Certified
- 2021-01-25
Frequently asked questions
- What is Pediatric Dentistry of Michigan PLLC's NPI number?
- Pediatric Dentistry of Michigan PLLC's National Provider Identifier (NPI) is 1831702695, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pediatric Dentistry of Michigan PLLC?
- Pediatric Dentistry of Michigan PLLC is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Pediatric Dentistry of Michigan PLLC located?
- Pediatric Dentistry of Michigan PLLC's practice location on file with NPPES is 3297 Eagle Run Dr Ne, Grand Rapids, MI 49525-7050.
- What is Pediatric Dentistry of Michigan PLLC's phone number?
- The practice phone number listed in the NPPES registry for Pediatric Dentistry of Michigan PLLC is (917) 597-6749.
- Who is the authorized official for Pediatric Dentistry of Michigan PLLC?
- The authorized official listed on Pediatric Dentistry of Michigan PLLC's NPPES record is Wanki Kim, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pediatric Dentistry of Michigan PLLC's NPI active?
- Yes — Pediatric Dentistry of Michigan PLLC's NPI (1831702695) is active in the NPPES registry as of the last update on 2021-01-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.