# MCCOY FAMILY DENTISTRY

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

## Provider details

- **NPI number:** 1710417969
- **Authorized official:** DR. STEVEN MCCOY DDS (CO OWNER)
- **Authorized official phone:** (616) 538-6210

## Contact information

- **Practice address:** 2330 44TH ST SE, GRAND RAPIDS, MI 49508-4700
- **Practice address phone:** (616) 538-6210
- **Mailing address:** 2330 44TH ST SE, GRAND RAPIDS, MI 49508-4700
- **Mailing address phone:** (616) 538-6210

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 12826 | MI | Yes |

## Other

- **Enumeration date:** 06/19/2017
- **Last updated:** 07/21/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1265599807 | NPI | MI |