Ladue, Douglas Eugene

Ladue, Douglas Eugene is an individual health care provider with primary practice located at 2017 Eastcastle Dr Se Suite A, Grand Rapids MI 49508-8872. He recently has 2 registered licenses in different health care specialties including Dental Providers / Pediatric Dentistry, Dental Providers / General Practice. Dental Providers / Pediatric Dentistry is his primary health care specialty. Ladue, Douglas Eugene can be contacted via phone (616) 455-4646.

Contact Information

Primary practice address
2017 Eastcastle Dr Se Suite A Grand Rapids MI 49508-8872
Phone: (616) 455-4646
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 2901020005 Michigan
Dental Providers / General Practice 1223G0001X 2901020005 Michigan

Profile Details

NPI number 1376771618
LBN Legal business name Ladue, Douglas Eugene
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2009
Last updated Dec 15th, 2021 - about 3 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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