# KENT FAMILY DENTAL CARE

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

## Provider details

- **NPI number:** 1538250907
- **Authorized official:** DR. JEFFREY W. STACHEL D.D.S. (PRESIDENT)
- **Authorized official phone:** (616) 364-9348

## Contact information

- **Practice address:** 2515 ALPINE AVE NW, GRAND RAPIDS, MI 49544-1924
- **Practice address phone:** (616) 364-9348
- **Practice address fax:** (616) 364-5950
- **Mailing address:** 7604 WOODVALE ST SE, GRAND RAPIDS, MI 49546-9147
- **Mailing address phone:** (616) 364-9348
- **Mailing address fax:** (616) 364-5950

## Taxonomy

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

## Other

- **Enumeration date:** 09/28/2006
- **Last updated:** 08/22/2020