Greenland, Robert Graham
Greenland, Robert Graham is an sole proprietor health care provider with primary practice located at 1179 E Paris Ave Se Ste 100 , Grand Rapids MI 49546-3682. He recently has only one registered license in Dental Providers / Prosthodontics, which is considered as his primary health care specialty. Greenland, Robert Graham can be contacted via phone (616) 256-8770.Contact Information
Primary practice address
1179 E Paris Ave Se Ste 100
Grand Rapids MI 49546-3682
Phone: (616) 256-8770
Fax: (616) 327-7452
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Prosthodontics | 1223P0700X | 2901601005 | Michigan |
Profile Details
| NPI number | 1003296781 |
|---|---|
| LBN Legal business name | Greenland, Robert Graham |
| Credentials | DDS, MS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 8th, 2015 |
| Last updated | Jan 4th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003296781 | NPPES |
| Michigan | Other | 2901601005 | PROSTHODONTIC LICENSE |
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