# COLOMA DENTAL PLLC

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

## Provider details

- **NPI number:** 1396547451
- **Authorized official:** DR. HANNAH NELSON DDS (OWNER)
- **Authorized official phone:** (616) 460-0159

## Contact information

- **Practice address:** 213 N PAW PAW ST, COLOMA, MI 49038-9589
- **Practice address phone:** (269) 468-5741
- **Mailing address:** 1499 STARK AVE NW, GRAND RAPIDS, MI 49534-2270

## Taxonomy

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

## Other

- **Enumeration date:** 03/26/2025
- **Last updated:** 03/26/2025