# NORTHVIEW FAMILY DENTISTRY

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

## Provider details

- **NPI number:** 1306241948
- **Authorized official:** DR. NICHOLE LUBBERTS D.D.S. (DENTIST)
- **Authorized official phone:** (813) 951-1716

## Contact information

- **Practice address:** 2700 5 MILE RD NE, \#202, GRAND RAPIDS, MI 49525-6516
- **Practice address phone:** (616) 364-8769
- **Mailing address:** 2700 5 MILE RD NE, \#202, GRAND RAPIDS, MI 49525-6516
- **Mailing address phone:** (616) 364-8769

## Taxonomy

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

## Other

- **Enumeration date:** 10/24/2014
- **Last updated:** 10/24/2014