School Dental Program is a Dental Clinic in Grand Rapids, Michigan. This organization is also known as sub part of Cherry Street Services, Inc.. It is located at 101 Sheldon Blvd Se, Grand Rapids, MI and its contact number is 616-776-2363. The authorized person for School Dental Program is Tasha Blackmon
who is Ceo of the clinic and their contact number is 616-776-2120. School Dental Program Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
School Dental Program Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
School Dental Program
Specialization:
Dentistry
Clinic Address:
101 Sheldon Blvd Se, Grand Rapids, Michigan, 49503-4262
Phone:
616-776-2363
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Tasha Blackmon
Position:
Ceo
Contact Number:
616-776-2120
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for School Dental Program clinic are as mentioned below.
NPI Number:
1336399047
Parent Organization:
Cherry Street Services, Inc.
NPI Enumeration Date:
30 Sep, 2008
NPI Last Update On:
25 Jun, 2024
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for School Dental Program are as mentioned below.
Specialization
License Number
State
Status
Federally Qualified Health Center (FQHC)
Primary
Dentist
Secondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
School Dental Program 100 Cherry St Se, Grand Rapids, Michigan
Zip:
49503-4526
Phone Number:
616-965-8200
Patients can reach School Dental Program at 101 Sheldon Blvd Se, Grand Rapids, Michigan or can call to book an appointment on 616-776-2363. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 October, 2024.