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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JOHN P BOLTHOUSE, DDS, MS

Active Sole Proprietor

DR. JOHN P BOLTHOUSE, DDS, MS is a Orthodontics healthcare provider located in GRANDVILLE, Michigan. NPI 1063547008 is currently active in the NPPES registry. Verify at CMS.

Orthodontics · GRANDVILLE, MI

Registration Details

NPI Number
1063547008
Provider Type
Individual
Gender
Male
NPI Issued
Feb 22, 2007 (19.43230585511 yrs)
Last Updated
Jul 8, 2007
License
08554 (MI)
Sole Proprietor
Yes

Practice Information

Address
3100 IVANREST AVE SW
GRANDVILLE, MI, 494182930
Browse MI providers · Browse ZIP 49418
Phone
6165381260
Fax
6165385540
Primary Specialty
Orthodontics
1223X0400X

Other Orthodontics Providers in GRANDVILLE, MI

Name Credential NPI
JAMES ALAN KESSEL D.D.S. 1568519973
DR. DAVID O CRAMER DDS,MS,PC 1720113509
DR. THOMAS PATRICK SHANNON D.D.S., M.D.S. 1760644132
DR. DANIEL G BOUWENS D.DS., M.S. 1558671743
FELIPE PORTO DDS, MS, MSD 1538464482
DR. JAYNE ALYDA KESSEL DDS 1063048619
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.