DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

IVANREST FAMILY DENTISTRY

Active Organization

IVANREST FAMILY DENTISTRY is a Dentist organization located in GRANDVILLE, Michigan. NPI 1215483284 is currently active in the NPPES registry. Verify at CMS.

Dentist · GRANDVILLE, MI

Registration Details

NPI Number
1215483284
Provider Type
Organization
NPI Issued
Aug 30, 2016 (9.9758773702543 yrs)
Last Updated
Aug 30, 2016
Licenses
2901021476 (MI)
2901016314 (MI)

Practice Information

Address
3100 IVANREST AVE SW
SUITE 105
GRANDVILLE, MI, 494182955
Browse MI providers · Browse ZIP 49418
Phone
6165383060
Fax
6165383653
Primary Specialty
Dentist
122300000X
Additional Specialty
Dentist
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.