Organization
97 SMILES OF GRAND RAPIDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN DUNFORD (BILLING & CREDENTIALING MANAGER)
(313) 342-1997
Entity
Organization
Contact information
Practice address
2300 3 MILE RD NE, GRAND RAPIDS, MI 49505-3956
(616) 365-8699
Mailing address
2300 3 MILE RD NE, GRAND RAPIDS, MI 49505-3956
(616) 365-8699
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
01/19/2026
Last updated
01/19/2026
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