Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1457504151 Individual Practitioner Female Practitioner

Dr. Elise M Boncher , DDS

Dentist - General Practice • Grand Rapids, MI

Professional Overview & Biography Verified Profile Summary

Dr. Elise Boncher, DDS is a registered healthcare professional specializing in Dentist - General Practice in Grand Rapids, MI. Practice services are available at 550 CHERRY ST SE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

550 Cherry St Se
Cherry Street Health Services - Dental

Grand Rapids, MI 495034748

Telephone 6162357289
Associated Practice Facility / Clinic
🏢 Cherry Street Services, Inc. Facility NPI 1558459164

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Grand Rapids, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 5.0 Yrs
State Avg: 15.8 Yrs
Regional Practice Density
174 Specialists

Practicing in Grand Rapids, MI (4360 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MI 2901019968

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License SC 4539

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Dr. Enas Karim , DDS

Dentist - General Practice

NPI 1114308988

Doctor of Dental Surgery

Tara Brown

Dental Hygienist

NPI 1164896593
NPI 1760829444

Doctor of Dental Surgery

Michelle Heeren

Dental Hygienist

NPI 1861024325

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 08, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location June 08, 2009

Registered at 550 CHERRY ST SE, CHERRY STREET HEALTH SERVICES - DENTAL, GRAND RAPIDS, MI 495034748 (Tel: 6162357289)

📍
Updated Business Mailing Address June 08, 2009

Registered at 550 CHERRY ST SE, CHERRY STREET HEALTH SERVICES - DENTAL, GRAND RAPIDS, MI 495034748 (Tel: 6162357289)

👤
Provider Name / Credentials Updated June 08, 2009

Recorded as ELISE BONCHER, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 08, 2009

Dentist (License #2901019968 in MI)

🟢
Initial NPI Registration & Enumeration October 28, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1457504151
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 28, 2008
Last Update: June 08, 2009
Sole Proprietor: No

Mailing Address

550 Cherry St Se, Cherry Street Health Services - Dental

Grand Rapids, MI 495034748

Phone: 6162357289

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.