EDP OF MI PC NPI 1811403959

NPI Information

NPI: 1811403959
Provider Name: EDP OF MI, PC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
1500 44TH ST SE
GRAND RAPIDS, MI
ZIP 49508
Phone: (616) 532-9070
Get Directions

EDP OF MI, PC is a dental clinic center in Grand Rapids, MI. EDP OF MI, PC NPI is 1811403959. The provider is registered as an organization entity type.

The provider's business location address is:

1500 44TH ST SE
GRAND RAPIDS, MI
ZIP 49508-651
Phone: (616) 532-9070

The provider's authorized official is Roseanne Brunenkant .
The authorized official title is Director Of Integrations and has the following contact phone number (312) 937-3619.

The enumeration date for this NPI number is 12/27/2017 and was last updated on 9/16/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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