| School Dental Program | |
|
550 Cherry St Se Grand Rapids MI 49503-4748 | |
| (616) 235-7272 | |
| Not Available |
| Full Name | School Dental Program |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 550 Cherry St Se, Grand Rapids, Michigan |
| Authorized Official Name and Position | Tasha Blackmon (CEO) |
| Authorized Official Contact | 6169658215 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| School Dental Program 100 Cherry St Se Grand Rapids MI 49503-4526 Ph: (616) 965-8200 | School Dental Program 550 Cherry St Se Grand Rapids MI 49503-4748 Ph: (616) 235-7272 |
| NPI Number | 1336399047 |
|---|---|
| Provider Enumeration Date | 09/30/2008 |
| Last Update Date | 01/09/2026 |
| Certification Date | 01/09/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336399047 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (NU) | Primary |
| 122300000X | Dentist | (NU) | Secondary |
Gastroenterology Specialist PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1179 E Paris Ave Se Ste 200, Grand Rapids, MI 49546 Phone: 616-975-9100 Fax: 616-975-1161 |
Spectrum Health Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5800 Foremost Dr Se, Grand Rapids, MI 49546 Phone: 616-486-9460 |
American Current Care of Michigan PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 933 Three Mile Road, Suite 110, Grand Rapids, MI 49544 Phone: 616-785-2619 Fax: 616-785-2623 |
Cherry Health - School Linked Vision Program Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 550 Cherry St Se, Grand Rapids, MI 49503 Phone: 616-776-2263 |
Patient One Care, PLLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1740 28th St Se, Grand Rapids, MI 49508 Phone: 616-323-3999 Fax: 616-552-1618 |
Spectrum Health Primary Care Partners Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 220 Wealthy St Se, Grand Rapids, MI 49503 Phone: 616-486-6870 |