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Kingma Pediatric Dentistry Pllc
Pediatric Dentist in Grand Rapids, Michigan
NPI 1811465990

Kingma Pediatric Dentistry Pllc is a Pediatric Dentist based in Grand Rapids, MI and is specialized in Pediatric Dentistry. Kingma Pediatric Dentistry Pllc practices in Grand Rapids, MI. The NPI Number for Kingma Pediatric Dentistry Pllc is 1811465990 and holds a License No. (Michigan).

The current practice location address for Kingma Pediatric Dentistry Pllc is 1179 E Paris Ave Se Ste 130, Grand Rapids, MI and can be reached out via phone at 616-942-9840 and via fax at 616-942-0170.

Location: 1179 E Paris Ave Se Ste 130, Grand Rapids, MI, 49546-3682
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1811465990
Provider Name
Kingma Pediatric Dentistry Pllc
Credential
Provider Entity Type
Organization
Address
1179 E Paris Ave Se Ste 130, Grand Rapids, MI, 49546-3682
Phone Number
616-942-9840
Fax Number
616-942-0170
Provider Enumeration Date
11/07/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1179 E Paris Ave Se Ste 130
City
Grand Rapids
State
Michigan
Zip
49546-3682
Phone Number
616-942-9840
Fax Number
616-942-0170
person
Provider Business Mailing Address Details
Address
1179 E Paris Ave Se Ste 130
City
Grand Rapids
State
Michigan
Zip
49546-3682
Phone Number
616-942-9840
Fax Number
616-942-0170
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
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Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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