# NORMAN FAMILY DENTISTRY PC

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

## Provider details

- **NPI number:** 1457968133
- **Authorized official:** DR. DEVIN NORMAN DDS (PRESIDENT)
- **Authorized official phone:** (616) 676-9177

## Contact information

- **Practice address:** 519 ADA DR SE STE A, ADA, MI 49301-9069
- **Practice address phone:** (616) 676-9177
- **Mailing address:** 519 ADA DR SE STE A, ADA, MI 49301-9069
- **Mailing address phone:** (616) 676-9177

## Taxonomy

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

## Other

- **Enumeration date:** 09/28/2020
- **Last updated:** 11/29/2023