# STANDALE DENTAL

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

## Provider details

- **NPI number:** 1184578221
- **Authorized official:** ROBERT GERALD MULL DDS (DENTIST/OWNER)
- **Authorized official phone:** (616) 453-7755

## Contact information

- **Practice address:** 3935 LAKE MICHIGAN DR NW STE 2, GRAND RAPIDS, MI 49534-7844
- **Practice address phone:** (616) 453-7755
- **Practice address fax:** (616) 453-3103
- **Mailing address:** 3935 LAKE MICHIGAN DR NW STE 2, GRAND RAPIDS, MI 49534-7844
- **Mailing address phone:** (616) 453-7755
- **Mailing address fax:** (616) 453-3103

## Taxonomy

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

## Other

- **Enumeration date:** 02/25/2026
- **Last updated:** 02/25/2026