Ivanrest Family Dentistry
LBN: Ivanrest Family Dentistry
Ivanrest Family Dentistry is an health care organization with primary practice located at 3100 Ivanrest Ave Sw Suite 105, Grandville MI 49418-2955. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty.
Ivanrest Family Dentistry can be contacted via phone (616) 538-3060, or through Eggleston, Robert Lewis via phone (616) 538-3060.
Contact Information
Primary practice address
3100 Ivanrest Ave Sw Suite 105
Grandville MI 49418-2955
Phone: (616) 538-3060
Fax: (616) 538-3653
Website:
Authorized official contact:
Name: Eggleston, Robert Lewis Doctor of Dental Surgery (DDS)
Phone: (616) 538-3060
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | 2901016314 | Michigan |
Dental Providers / Dentist | 122300000X | 2901021476 | Michigan |
Profile Details
NPI number | 1215483284 |
---|---|
LBN Legal business name | Ivanrest Family Dentistry |
DBA Doing business as | |
Authorized official | Eggleston, Robert Lewis Doctor of Dental Surgery (DDS) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Aug 30th, 2016 |
Last updated | Aug 30th, 2016 - about 9 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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