# GRAND HAVEN SMILES PLC

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

## Provider details

- **NPI number:** 1518311786
- **Authorized official:** MRS. LAURA ROGERS (DIRECTOR OF FINANCE)
- **Authorized official phone:** (616) 669-6600

## Contact information

- **Practice address:** 17168 TIMBERVIEW DR, STE B, GRAND HAVEN, MI 49417
- **Practice address phone:** (616) 842-1188
- **Practice address fax:** (616) 777-0026
- **Mailing address:** 17168 TIMBERVIEW DR, STE B, GRAND HAVEN, MI 49417
- **Mailing address phone:** (616) 842-1188
- **Mailing address fax:** (616) 777-0026

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 2901011799 | MI | Yes |

## Other

- **Enumeration date:** 04/14/2016
- **Last updated:** 01/15/2021