Jonathan D Eagle Dds Pc

LBN: Jonathan D Eagle Dds Pc
Jonathan D Eagle Dds Pc is an health care organization with primary practice located at 1750 Grand Ridge Court Ne Suite 202, Grand Rapids MI 49525. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Jonathan D Eagle Dds Pc can be contacted via phone (616) 361-9330, or through Eagle, Johnathan D via phone (616) 361-9330.

Contact Information

Primary practice address
1750 Grand Ridge Court Ne Suite 202 Grand Rapids MI 49525
Phone: (616) 361-9330
Fax: (616) 361-7095
Website:
Map and Directions
Authorized official contact:
Name: Eagle, Johnathan D DDS PC
Phone: (616) 361-9330

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 2901015645 Michigan

Profile Details

NPI number 1982744249
LBN Legal business name Jonathan D Eagle Dds Pc
DBA Doing business as
Authorized official Eagle, Johnathan D DDS PC
Entity Organization
Organization subpart 1 No
Enumeration date Feb 7th, 2007
Last updated Nov 22nd, 2023 - about 2 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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