Robert L Eggleston, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2901016314 Issued in MI

Practice address

3100 Ivanrest Ave SW
Suite 105
Grandville, MI 49418-2930

Phone

(616) 538-3060

Fax

(616) 538-3653

NPI assigned

Nov 28, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ivanrest Family Dentistry

  • Dentist
  • Grandville, MI
  • NPI 1215483284
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1003899733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 IVANREST AVE SW",
            "address_2": "SUITE 105",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494182930",
            "telephone_number": "616-538-3060",
            "fax_number": "616-538-3653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 IVANREST AVE SW",
            "address_2": "SUITE 105",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494182930",
            "telephone_number": "616-538-3060",
            "fax_number": "616-538-3653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGGLESTON",
        "first_name": "ROBERT",
        "middle_name": "L",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-28",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901016314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa Eddie, MA, CCC-SLP
• Emory Stewart Eddy, LLPC
• Reegan Elles Edema, OTR/L
• Evonne M Edwards, LLP
• Skylar Brielle Edwards I
• Amol Shantaram Ekhande, M.D.
• Andrea Rose Elder
• Jill Marie Elian, RN
• Sarah Dawn Elkins, PA-C
• Amy Lynn Elliott, P.T.

• Dentist in Grandville, MI
• Providers in Grandville, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.