# ARTDENTISTRY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Kentwood dental care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730827684
- **Authorized official:** HALIE NGUYEN (OFFICE MANAGER)
- **Authorized official phone:** (586) 883-3195

## Contact information

- **Practice address:** 4611 N BRETON CT SE, KENTWOOD, MI 49508-5211
- **Practice address phone:** (616) 612-1176
- **Mailing address:** 3851 BALSAM WATERS DR NE, GRAND RAPIDS, MI 49525-2483

## Taxonomy

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

## Other

- **Enumeration date:** 05/20/2022
- **Last updated:** 05/20/2022