# HERNLY FAMILY AND COSMETIC DENTISTRY, PC

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

## Provider details

- **NPI number:** 1902827157
- **Authorized official:** DR. DAVID J HERNLY D.D.S. (PRESIDENT)
- **Authorized official phone:** (616) 957-1731

## Contact information

- **Practice address:** 847 PARCHMENT DR SE, SUITE 115, GRAND RAPIDS, MI 49546-2303
- **Practice address phone:** (616) 957-1731
- **Practice address fax:** (616) 957-4420
- **Mailing address:** 847 PARCHMENT DR SE, SUITE 115, GRAND RAPIDS, MI 49546-2303
- **Mailing address phone:** (616) 957-1731
- **Mailing address fax:** (616) 957-4420

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 18009 | MI | Yes |

## Other

- **Enumeration date:** 07/22/2006
- **Last updated:** 08/22/2020