# BRADLEY A DYKSTRA DDS PLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hudsonville Dental Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922093798
- **Authorized official:** DR. BRADLEY ALAN DYKSTRA DDS (PRES)
- **Authorized official phone:** (616) 669-6600

## Contact information

- **Practice address:** 3250 CENTRAL BLVD, HUDSONVILLE, MI 49426-1439
- **Practice address phone:** (616) 669-6600
- **Practice address fax:** (616) 669-2964
- **Mailing address:** 3250 CENTRAL BLVD, HUDSONVILLE, MI 49426-1439
- **Mailing address phone:** (616) 669-6600
- **Mailing address fax:** (616) 669-2964

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 11799 | MI | Yes |

## Other

- **Enumeration date:** 09/16/2005
- **Last updated:** 08/22/2020