Provider Demographics
NPI:1205609443
Name:AUSTIN J GETZ, DDS, PLLC
Entity type:Organization
Organization Name:AUSTIN J GETZ, DDS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, MEMBER, CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:AUSTIN
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:GETZ
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:616-834-2163
Mailing Address - Street 1:4519 ORCHARD CREEK DR SE
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49546-8242
Mailing Address - Country:US
Mailing Address - Phone:616-834-2163
Mailing Address - Fax:
Practice Address - Street 1:4880 CASCADE RD SE STE B
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49546-3701
Practice Address - Country:US
Practice Address - Phone:616-834-2163
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-31
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty