# GRAND VALLEY DENTAL CARE, P.C.

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

## Provider details

- **NPI number:** 1952439218
- **Authorized official:** DR. CARMY G MICHAEL D.D.S. (DENTIST)
- **Authorized official phone:** (616) 457-2299

## Contact information

- **Practice address:** 2064 BALDWIN ST, JENISON, MI 49428-8773
- **Practice address phone:** (616) 457-2299
- **Practice address fax:** (616) 457-1353
- **Mailing address:** 2064 BALDWIN ST, JENISON, MI 49428-8773
- **Mailing address phone:** (616) 457-2299
- **Mailing address fax:** (616) 457-1353

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 08282 | MI | Yes |

## Other

- **Enumeration date:** 03/01/2007
- **Last updated:** 08/22/2020