DR. ELDIB FORT GRATIOT PLLC NPI 1841023264

NPI Information

  • NPI: 1841023264
  • Provider Name: DR. ELDIB FORT GRATIOT, PLLC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • :
  • Address: 4036 24TH AVE
    FORT GRATIOT, MI
    ZIP 48059
  • Phone: (810) 385-9766

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NPI Details

DR. ELDIB FORT GRATIOT, PLLC is a dental clinic center in Fort Gratiot, MI. DR. ELDIB FORT GRATIOT, PLLC NPI is 1841023264. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

4036 24TH AVE
FORT GRATIOT, MI
ZIP 48059-800
Phone: (810) 385-9766
Fax: (810) 990-8403

The provider's authorized official is Kelley Varga .
The authorized official title is Director Of Business Operations and has the following contact phone number (734) 808-0000.

The enumeration date for this NPI number is 8/21/2024 and was last updated on 3/24/2025.

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
11223G0001XDentistGeneral PracticeNo
2261QD0000XClinic/CenterDentalYes

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: 11/21/2025

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