# JEREMY M GROVE DDS PLLC

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

## Provider details

- **NPI number:** 1073257747
- **Authorized official:** JEREMY MARSHALL GROVE DDS (OWNER/DENTIST)
- **Authorized official phone:** (810) 735-7511

## Contact information

- **Practice address:** 501 S. BRIDGE ST., LINDEN, MI 48451
- **Practice address phone:** (810) 735-7511
- **Practice address fax:** (810) 735-0918
- **Mailing address:** P.O. BOX 127, LINDEN, MI 48451
- **Mailing address phone:** (810) 735-7511
- **Mailing address fax:** (810) 735-0918

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 04/27/2022
- **Last updated:** 09/01/2022