Brant A Erbentraut in Grand Rapids - Oral And Maxillofacial Surgery
Brant A Erbentraut - NPI 1609961374
Brant A Erbentraut is a Oral And Maxillofacial Surgery in Grand Rapids, Michigan. Brant A Erbentraut practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Brant A Erbentraut is 1609961374. The last update date is 2007-07-08.
Brant A Erbentraut's current location address is 2140 Lake Michigan Dr Nw, Grand Rapids, Michigan. You can contact this provider via phone number 6167352870 and fax number 6167352871. The mailing address for Brant A Erbentraut is 2140 Lake Michigan Dr Nw, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brant A Erbentraut |
|---|---|
| Address | 2140 Lake Michigan Dr Nw, Grand Rapids, Michigan |
| Phone Number | 6167352870 |
| Fax Number | 6167352871 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1609961374 |
|---|---|
| Provider Enumeration Date | 2006-10-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2140 Lake Michigan Dr Nw |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495044785 |
| Phone Number | 6167352870 |
| Fax Number | 6167352871 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 2901018125 |
|
Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 181250 | MI | BCBSD | |
| 0D111530 | MI | BCBSM |
Post Comment/ Review Below
What is the unique identifier code issued to Brant A Erbentraut by the Centers for Medicare & Medicaid Services (CMS)?
The Brant A Erbentraut has been assigned the NPI (National Provider Identifier) 1609961374. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Brant A Erbentraut?
The Brant A Erbentraut is situated at 2140 Lake Michigan Dr Nw, in the city of Grand Rapids, state of MI, with the zip code 495044785.
What is the Brant A Erbentraut's area of specialization and corresponding taxonomy classification?
The Brant A Erbentraut's specialty field is Oral And Maxillofacial Surgery, and it falls under the taxonomy code 1223S0112X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1609961374 to Brant A Erbentraut?
The Centers for Medicare & Medicaid Services originally issued the 1609961374 to Brant A Erbentraut on 2006-10-04.
As of what date was the information pertaining to Brant A Erbentraut, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Brant A Erbentraut, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.