# WEST MICHIGAN ENDODONTISTS

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

## Provider details

- **NPI number:** 1568684959
- **Authorized official:** DR. ARIC C. SMITH D.D.S., M.S. (PARTNER)
- **Authorized official phone:** (616) 949-3541

## Contact information

- **Practice address:** 3366 BURTON STREET, SE, GRAND RAPIDS, MI 49546-5343
- **Practice address phone:** (616) 949-3541
- **Mailing address:** 3366 BURTON STREET, SE, GRAND RAPIDS, MI 49546-5343
- **Mailing address phone:** (616) 949-3541

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | — | NULL | Yes |
| 1223E0200X | Endodontics | — | — | Yes |

## Other

- **Enumeration date:** 05/03/2007
- **Last updated:** 08/22/2020
