Greenland, Robert Graham

Greenland, Robert Graham is an sole proprietor health care provider with primary practice located at 1179 E Paris Ave Se Ste 100 , Grand Rapids MI 49546-3682. He recently has only one registered license in Dental Providers / Prosthodontics, which is considered as his primary health care specialty. Greenland, Robert Graham can be contacted via phone (616) 256-8770.

Contact Information

Primary practice address
1179 E Paris Ave Se Ste 100 Grand Rapids MI 49546-3682
Phone: (616) 256-8770
Fax: (616) 327-7452
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Prosthodontics 1223P0700X 2901601005 Michigan

Profile Details

NPI number 1003296781
LBN Legal business name Greenland, Robert Graham
Credentials DDS, MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 8th, 2015
Last updated Jan 4th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003296781 NPPES
Michigan Other 2901601005 PROSTHODONTIC LICENSE

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