# GRAND RIDGE FAMILY DENTISTRY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ryan Keener DDS PLLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427769934
- **Authorized official:** DR. RYAN KEENER DDS (DENTIST)
- **Authorized official phone:** (810) 341-3642

## Contact information

- **Practice address:** 3350 GRAND RIDGE DR NE, GRAND RAPIDS, MI 49525-7071
- **Practice address phone:** (810) 341-3642
- **Mailing address:** 3350 GRAND RIDGE DR NE, GRAND RAPIDS, MI 49525-7071
- **Mailing address phone:** (810) 341-3642

## Taxonomy

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

## Other

- **Enumeration date:** 12/06/2022
- **Last updated:** 12/06/2022