| East Paris Dental Professionals Plc | |
|
2060 E Paris Ave Se Suite 210 Grand Rapids MI 49546-6501 | |
| (616) 949-7290 | |
| (616) 949-6108 |
| Full Name | East Paris Dental Professionals Plc |
|---|---|
| Speciality | Dentist |
| Location | 2060 E Paris Ave Se, Grand Rapids, Michigan |
| Authorized Official Name and Position | Joseph Michael Ellis (OWNER/PRESIDENT) |
| Authorized Official Contact | 6169497290 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Paris Dental Professionals Plc 2060 E Paris Ave Se Suite 210 Grand Rapids MI 49546-6501 Ph: (616) 949-7290 | East Paris Dental Professionals Plc 2060 E Paris Ave Se Suite 210 Grand Rapids MI 49546-6501 Ph: (616) 949-7290 |
| NPI Number | 1942281480 |
|---|---|
| Provider Enumeration Date | 11/10/2005 |
| Last Update Date | 02/21/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942281480 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2901014927 (Michigan) | Primary |
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