Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KIM L ERICKSON, D.D.S.
Active Sole ProprietorDR. KIM L ERICKSON, D.D.S. is a Orthodontics & Dentofacial Orthopedics healthcare provider located in GRAND RAPIDS, Michigan. NPI 1568486769 is currently active in the NPPES registry. Verify at CMS.
Orthodontics & Dentofacial Orthopedics · GRAND RAPIDS, MI
Registration Details
- NPI Number
- 1568486769
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 27, 2006 (19.868442081964 yrs)
- Last Updated
- Sep 11, 2025
- Licenses
-
KE011553 (MI)KE011553 (MI)KE011553 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4500 CASCADE RD SESUITE #208GRAND RAPIDS, MI, 495463665Browse MI providers · Browse ZIP 49546
- Phone
- 6169775000
- Fax
- 6169770020
- Primary Specialty
-
Orthodontics & Dentofacial Orthopedics
1223P0106X
- Additional Specialty
- Oral & Maxillofacial Surgery
- Additional Specialty
- Oral & Maxillofacial Pathology
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.