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Active NPI 1922121920 Individual Practitioner Male Practitioner

Dr. Jon O'brien , DDS

Dentist - General Practice • Grand Rapids, MI

Professional Overview & Biography Verified Profile Summary

Dr. Jon O'Brien, DDS is a registered healthcare professional specializing in Dentist - General Practice in Grand Rapids, MI. Practice services are available at 1503 COIT AVE NE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1503 Coit Ave Ne

Grand Rapids, MI 495054906

Telephone 6163612617
Fax 6163612390
Associated Practice Facility / Clinic
🏢 O'brien And O'brien Dds Pc Facility NPI 1497978290

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 11606

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
4051278 (MI)
Commercial Insurance / Payer ID State Id Number
11606 (MI)

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Daniel O'brien , DDS

Dentist - General Practice

NPI 1992143093

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
✅
NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 1503 COIT AVE NE, GRAND RAPIDS, MI 495054906 (Tel: 6163612617)

📍
Updated Business Mailing Address July 09, 2007

Registered at 1503 COIT AVE NE, GRAND RAPIDS, MI 495054906 (Tel: 6163612617)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as JON O'BRIEN, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Dentist (License #11606 in MI)

🟢
Initial NPI Registration & Enumeration April 06, 2007

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: 1922121920
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 06, 2007
Last Update: July 09, 2007
Sole Proprietor: No
Update or Correct Profile

Mailing Address

1503 Coit Ave Ne

Grand Rapids, MI 495054906

Phone: 6163612617

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.