Grand River Periodontics, Pllc

LBN: Grand River Periodontics, Pllc
Grand River Periodontics, Pllc is an health care organization with primary practice located at 3050 Ivanrest Ave Sw Ste B , Grandville MI 49418-1400. The organization recently has only one registered license in Dental Providers / Periodontics, which is considered as the primary health care specialty. Grand River Periodontics, Pllc can be contacted via phone (616) 531-1554, or through Sinacola, Rachel Sheridan via phone (989) 430-8554.

Contact Information

Primary practice address
3050 Ivanrest Ave Sw Ste B Grandville MI 49418-1400
Phone: (616) 531-1554
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Sinacola, Rachel Sheridan DDS, MS
Phone: (989) 430-8554

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X

Profile Details

NPI number 1326715665
LBN Legal business name Grand River Periodontics, Pllc
DBA Doing business as
Authorized official Sinacola, Rachel Sheridan DDS, MS
Entity Organization
Organization subpart 1 No
Enumeration date Aug 25th, 2021
Last updated Aug 25th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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