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Georgetown Family & Cosmetic Dentistry Plc

General Practice Dentistry in Jenison, MI · enumerated 2006 · authorized official Tyler Wolf, Owner Dentist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1255404992

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Registry record

Entity type Organization (Type 2)
Legal business name Georgetown Family & Cosmetic Dentistry Plc
Practice address 7678 Cottonwood Dr, Jenison, MI, 49428
Fax (616) 457-4600
Enumeration date Nov 17, 2006
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers Primary

Authorized official

Name Tyler Wolf
Title Owner Dentist

Other identifiers

Identifier Type State Issuer
J801114 Other - BCBS ID #

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Georgetown Family & Cosmetic Dentistry Plc located?
The practice location on file with NPPES is in Jenison, MI.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-08-22. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.