# SOUTH ARM SMILES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Maple Ridge Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760284558
- **Authorized official:** DR. MATTHEW KUIPER DDS (CEO/PRESIDENT)
- **Authorized official phone:** (616) 914-8353

## Contact information

- **Practice address:** 101 MAPLE RIDGE DR, EAST JORDAN, MI 49727-8926
- **Practice address phone:** (231) 536-2601
- **Mailing address:** 4773 US HIGHWAY 131 N, BOYNE FALLS, MI 49713-9617
- **Mailing address phone:** (616) 914-8353

## Taxonomy

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

## Other

- **Enumeration date:** 03/25/2025
- **Last updated:** 03/25/2025