Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GRAND RIVER ENDODONTICS PC
Deactivated OrganizationGRAND RIVER ENDODONTICS PC is a Endodontics organization located in GRANDVILLE, Michigan. NPI 1518360304 is deactivated in the NPPES registry. Verify at CMS.
Endodontics · GRANDVILLE, MI
This NPI has been deactivated.
The record was deactivated on October 21, 2014.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1518360304
- Provider Type
- Organization
- NPI Issued
- Oct 7, 2014 (0.038356164383562 yrs)
- Last Updated
- Sep 30, 2017
- Deactivated
- Oct 21, 2014
- License
-
2901019457 (MI)
Practice Information
- Address
-
4211 PARKWAY PLACE DR SWSUITE 104GRANDVILLE, MI, 494182695Browse MI providers · Browse ZIP 49418
- Phone
- 6162493500
- Fax
- 6162493502
- Primary Specialty
-
Endodontics
1223E0200X
Other Endodontics Organizations in GRANDVILLE, MI
| Name | NPI |
|---|---|
| GRANDVILLE ENDODONTICS | 1508031808 |
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.