OrganizationActive
Dental Design P.C.
NPI 1891892006 · Dentist · Grand Rapids, MI
Provider details
- NPI number
- 1891892006
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Tracy Blount, President(616) 452-0400
- License
- 2901015828 (MI)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(95/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 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
2021 44th St Se Ste B
Grand Rapids, MI 49508-5349
Phone: (616) 452-0400
Fax: (855) 918-1014
Street-level locationGet directions
Mailing address
Po Box 88007
Grand Rapids, MI 49518-0007
Other names (DBA / former)
- Former legal business name
- Tracy E. Mathis DDS P.C.
- Former legal business name
- Tracy E. Mathis DDS P.C.
Additional practice locations (1)
- 1014 Franklin St SeGrand Rapids, MI 49507-1327Phone: (616) 452-0400
Registry dates
- Enumerated
- 2006-09-20
- Last updated
- 2019-11-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.