Vandragt, Robert Bruce

Vandragt, Robert Bruce is an sole proprietor health care provider with primary practice located at 431 Munson Ave Suite F, Traverse City MI 49686-3060. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Vandragt, Robert Bruce can be contacted via phone (231) 946-2160.

Contact Information

Primary practice address
431 Munson Ave Suite F Traverse City MI 49686-3060
Fax: (231) 946-2161
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2901011357 Michigan

Profile Details

NPI number 1649319161
LBN Legal business name Vandragt, Robert Bruce
Credentials DENTIST
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 5th, 2007
Last updated Jul 9th, 2007 - about 18 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1649319161 NPPES
Michigan MEDICAID 4040757

Popular Providers