| East Paris Dental Professionals, Plc | |
|
2351 Countrywood Dr Se Kentwood MI 49508-5065 | |
| (616) 455-3020 | |
| (616) 455-1397 |
| Full Name | East Paris Dental Professionals, Plc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2351 Countrywood Dr Se, Kentwood, Michigan |
| Authorized Official Name and Position | Joseph Michael Ellis (DENTIST) |
| Authorized Official Contact | 6164553020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Paris Dental Professionals, Plc 2351 Countrywood Dr Se Kentwood MI 49508-5065 Ph: (616) 455-3020 | East Paris Dental Professionals, Plc 2351 Countrywood Dr Se Kentwood MI 49508-5065 Ph: (616) 455-3020 |
| NPI Number | 1730303389 |
|---|---|
| Provider Enumeration Date | 04/13/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730303389 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 014927 (Michigan) | Primary |
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