# NORTHWAY FAMILY DENTISTRY

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

## Provider details

- **NPI number:** 1063800563
- **Authorized official:** DR. THOMAS FRANK NORTHWAY D.D.S. (OWNER)
- **Authorized official phone:** (616) 531-7480

## Contact information

- **Practice address:** 3050 IVANREST AVE SW, GRANDVILLE, MI 49418-1400
- **Practice address phone:** (616) 531-7480
- **Practice address fax:** (616) 531-4552
- **Mailing address:** 3050 IVANREST AVE SW, GRANDVILLE, MI 49418-1400
- **Mailing address phone:** (616) 531-7480
- **Mailing address fax:** (616) 531-4552

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 12024 | MI | Yes |

## Other

- **Enumeration date:** 01/06/2015
- **Last updated:** 01/06/2015