| Growing Smiles Pediatric Dentistry P.c. | |
| 
					1750 Grand Ridge Ct Ne Suite 202 Grand Rapids MI 49525-7043  | |
| (616) 988-9485 | |
| (616) 988-9486 | 
| Full Name | Growing Smiles Pediatric Dentistry P.c. | 
|---|---|
| Speciality | Dentist - Pediatric Dentistry | 
| Location | 1750 Grand Ridge Ct Ne, Grand Rapids, Michigan | 
| Authorized Official Name and Position | Meggan L Krause (OWNER/DENTIST) | 
| Authorized Official Contact | 8107340009 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Growing Smiles Pediatric Dentistry P.c. 1750 Grand Ridge Ct Ne Suite 202 Grand Rapids MI 49525-7043 Ph: (616) 988-9485  | Growing Smiles Pediatric Dentistry P.c. 1750 Grand Ridge Ct Ne Suite 202 Grand Rapids MI 49525-7043 Ph: (616) 988-9485  | 
| NPI Number | 1730519661 | 
|---|---|
| Provider Enumeration Date | 11/13/2013 | 
| Last Update Date | 11/13/2013 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1730519661 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 2901020473 (Michigan) | Primary | 
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