Bakeman & Kuckhoff Dentistry, PLLC
Clinic/Center, Dental in Grand Rapids, MI. Organization (NPI-2).
NPI number1104737527
StatusActive
Last updated in NPPESSep 15, 2026
Details
- NPI
- 1104737527
- Entity type
- Organization (NPI-2)
- Legal business name
- Bakeman & Kuckhoff Dentistry, PLLC
- Organization subpart
- No
- Enumeration date
- Sep 15, 2026
- Certification date
- Sep 15, 2026
- Last updated
- Sep 15, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Practice location
2757 Leonard St Ne Ste 100Grand Rapids, MI 49525-5807
Phone 616-940-0481 · Fax 616-940-0486
Mailing address
2757 Leonard St Ne Ste 100Grand Rapids, MI 49525-5807
Phone 616-940-0481 · Fax 616-940-0486
Authorized official
Sara Kuckhoff
Co-Owner
6169400481
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