Jonathan D Eagle Dds Pc in Grand Rapids - Dentist
Jonathan D Eagle Dds Pc - NPI 1982744249
Jonathan D Eagle Dds Pc is a Dentist in Grand Rapids, Michigan. Jonathan D Eagle Dds Pc practices all healthcare services and medical treatments related to Dentist. The NPI Number for Jonathan D Eagle Dds Pc is 1982744249. The last update date is 2023-11-22.
Jonathan D Eagle Dds Pc's current location address is 1750 Grand Ridge Court Ne, Grand Rapids, Michigan. You can contact this provider via phone number 6163619330 and fax number 6163617095. The mailing address for Jonathan D Eagle Dds Pc is 1750 Grand Ridge Court Ne, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jonathan D Eagle Dds Pc |
|---|---|
| Address | 1750 Grand Ridge Court Ne, Grand Rapids, Michigan |
| Phone Number | 6163619330 |
| Fax Number | 6163617095 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Eagle D Johnathan |
| Credentials | DDS PC |
| Telephone Number | 6163619330 |
NPI Number Detail
| NPI Number | 1982744249 |
|---|---|
| Provider Enumeration Date | 2007-02-07 |
| Last Updated Date | 2023-11-22 |
Provider Mailing Address Detail
| Address | 1750 Grand Ridge Court Ne |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 49525 |
| Phone Number | 6163619330 |
| Fax Number | 6163617095 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 2901015645 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique 10-digit identifier code issued to Jonathan D Eagle Dds Pc by the Centers for Medicare & Medicaid Services?
The Jonathan D Eagle Dds Pc has been assigned the NPI (National Provider Identifier) 1982744249 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Jonathan D Eagle Dds Pc's facilities are geographically located?
The facilities of Jonathan D Eagle Dds Pc are physically situated at the following location: 1750 Grand Ridge Court Ne, Grand Rapids, MI, 49525.
What is Jonathan D Eagle Dds Pc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jonathan D Eagle Dds Pc is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.
On what date did Jonathan D Eagle Dds Pc receive its 1982744249 assignment from the Centers for Medicare & Medicaid Services?
The Jonathan D Eagle Dds Pc was assigned its 1982744249 on 2007-02-07, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Jonathan D Eagle Dds Pc's details last updated?
The information pertaining to the Jonathan D Eagle Dds Pc, including its address, specialty, and other details, was most recently updated on 2023-11-22.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC