Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1750949715 Individual Practitioner Female Practitioner

Dr. Sara Portwood Kuckhoff , DMD

Dentist - General Practice • Grand Rapids, MI

Professional Overview & Biography Verified Profile Summary

Dr. Sara Kuckhoff, DMD is a registered healthcare professional specializing in Dentist - General Practice in Grand Rapids, MI. Practice services are available at 2757 LEONARD ST NE STE 100 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2757 Leonard St Ne Ste 100

Grand Rapids, MI 495255807

Telephone 2252843517

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

CMS Verified: 2024-11-05
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License SC 9377

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 MI 2901602314

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.

Career & Practice History Timeline

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

10 Historical Events
👤
Provider Name / Credentials Updated November 05, 2024

Recorded as SARA KUCKHOFF, DMD

📍
Updated Practice Location August 26, 2024

Registered at 2757 LEONARD ST NE STE 100, GRAND RAPIDS, MI 495255807 (Tel: 2252843517)

📍
Updated Business Mailing Address August 26, 2024

Registered at 2757 LEONARD ST NE STE 100, GRAND RAPIDS, MI 495255807 (Tel: 2252843517)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 26, 2024

Dentist (License #2901602314 in MI)

NPI Profile Active June 04, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location June 04, 2019

Registered at 9 SOUTHERN CENTER CT STE B, EASLEY, SC 296421533 (Tel: 8643068350)

📍
Updated Business Mailing Address June 04, 2019

Registered at 1108 S MAIN ST UNIT 333, GREENVILLE, SC 296013375 (Tel: 2252843517)

👤
Provider Name / Credentials Updated June 04, 2019

Recorded as SARA PORTWOOD, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 04, 2019

Dentist (License #9377 in SC)

🟢
Initial NPI Registration & Enumeration June 04, 2019

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: 1750949715
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 04, 2019
Last Update: November 05, 2024
Sole Proprietor: No

Mailing Address

2757 Leonard St Ne Ste 100

Grand Rapids, MI 495255807

Phone: 2252843517

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.