# CONTEMPORARY FAMILY DENTAL

> 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
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962815605
- **Authorized official:** MR. BRADLEY A DYKSTRA DDS (OWNER)
- **Authorized official phone:** (616) 669-6600

## Contact information

- **Practice address:** 2005 BRETON RD SE, GRAND RAPIDS, MI 49546
- **Practice address phone:** (616) 926-1271
- **Practice address fax:** (616) 726-1273
- **Mailing address:** 2005 BRETON RD SE, GRAND RAPIDS, MI 49546
- **Mailing address phone:** (616) 726-1271
- **Mailing address fax:** (616) 726-1273

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 11799 | MI | Yes |
| 122300000X | Dentist | 12554 | MI | — |
| 122300000X | Dentist | 18713 | MI | — |
| 122300000X | Dentist | 19719 | MI | — |

## Other

- **Enumeration date:** 06/10/2014
- **Last updated:** 06/10/2014