Vanderlugt Dental in Grand Rapids - Dentist
Vanderlugt Dental - NPI 1720275167
Vanderlugt Dental is a Dentist in Grand Rapids, Michigan. Vanderlugt Dental practices all healthcare services and medical treatments related to Dentist. The NPI Number for Vanderlugt Dental is 1720275167. The last update date is 2007-10-01.
Vanderlugt Dental's current location address is 2008 Eastcastle Dr Se Ste C, Grand Rapids, Michigan. You can contact this provider via phone number 6164558400 and fax number 6164554283. The mailing address for Vanderlugt Dental is 2008 Eastcastle Dr Se Ste C, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Vanderlugt Dental |
|---|---|
| Address | 2008 Eastcastle Dr Se Ste C, Grand Rapids, Michigan |
| Phone Number | 6164558400 |
| Fax Number | 6164554283 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DDS |
|---|---|
| Authorized Official Name | Vanderlugt F David |
| Telephone Number | 6164558400 |
NPI Number Detail
| NPI Number | 1720275167 |
|---|---|
| Provider Enumeration Date | 2007-10-01 |
| Last Updated Date | 2007-10-01 |
Provider Mailing Address Detail
| Address | 2008 Eastcastle Dr Se Ste C |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495088874 |
| Phone Number | 6164558400 |
| Fax Number | 6164554283 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | L732419 |
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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 identifier code issued to Vanderlugt Dental by the Centers for Medicare & Medicaid Services?
The Vanderlugt Dental has been assigned the NPI (National Provider Identifier) 1720275167. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Vanderlugt Dental's facilities are geographically located?
The facilities of Vanderlugt Dental are physically situated at the following location: 2008 Eastcastle Dr Se Ste C, Grand Rapids, MI, 495088874.
What is Vanderlugt Dental's area of expertise and its corresponding taxonomy classification?
The Vanderlugt Dental's field of specialization is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Vanderlugt Dental receive the assignment of its 1720275167 from the Centers for Medicare & Medicaid Services?
The Vanderlugt Dental was issued its 1720275167 by the Centers for Medicare & Medicaid Services on 2007-10-01.
When was the Vanderlugt Dental's information last updated?
The Vanderlugt Dental's information was last updated on 2007-10-01.
NPI Number: 1245233907
Address: 1150 N Watters Rd, Allen, TX