Dr. Kenneth John Roedema, D.D.S.
Dentist in Grand Rapids, MI. Individual provider (NPI-1).
NPI number1174635346
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1174635346
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kenneth John Roedema
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 31, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | D11344 | MI | Yes |
Practice location
1632 Leonard St NwGrand Rapids, MI 49504-3994
Phone 616-453-5331
Mailing address
1632 Leonard St NwGrand Rapids, MI 49504-3994
Phone 616-453-5331
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Dentist providers in Grand Rapids, MI
- 616 Dental Studio PLLCNPI 1720413636
- 97 Smiles Of Grand RapidsNPI 1891654612
- Andrew M Van Haren DDS PlcNPI 1225312523
- Elizabeth M Bakeman, DDSNPI 1528284163
- Nithya Nagaraj Baker, DDSNPI 1386052561
- Carol Marie Baldwin, DDSNPI 1225387764
- Samuel Thomas Bander, DDSNPI 1336272749
- Beckwith Family Dental Care PlcNPI 1366518391
- Stephanie Mae Benton-Langejans, DDSNPI 1710144183
- Tracy Elaine Blount, D.D.SNPI 1326145046
All 161 Dentist providers in Grand Rapids · All 20,987 providers in Grand Rapids
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.