# BYRON CENTER FAMILY DENTAL PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013363761
- **Authorized official:** DENISE HENDRIE (OFFICE MANAGER)
- **Authorized official phone:** (231) 865-6945

## Contact information

- **Practice address:** 4489 BYRON CENTER AVE SW, SUITE A, WYOMING, MI 49519-4804
- **Practice address phone:** (616) 534-8554
- **Practice address fax:** (616) 534-8063
- **Mailing address:** 4489 BYRON CENTER AVE SW, SUITE A, WYOMING, MI 49519-4804
- **Mailing address phone:** (616) 534-8554
- **Mailing address fax:** (616) 534-8063

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 18853 | MI | Yes |
| 1223G0001X | General Practice Dentistry | 29010020645 | MI | — |
| 1223G0001X | General Practice Dentistry | 5315070576 | MI | — |

## Other

- **Enumeration date:** 05/12/2016
- **Last updated:** 05/12/2016