Organization
RESTORE PERIODONTICS AND IMPLANT DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN DEMPSEY DDS (OWNER)
(616) 826-8167
Entity
Organization
Contact information
Practice address
2017 EASTCASTLE DR SE STE C, GRAND RAPIDS, MI 49508-8872
(616) 826-8167
Mailing address
2017 EASTCASTLE DR SE STE C, GRAND RAPIDS, MI 49508-8872
(616) 826-8167
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
08/01/2022
Last updated
08/01/2022
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