Flat Rriver Family Dentistry PLLC
Organization Active NPI Dentist · Greenville, MI
NPI 1235375296 · NPPES record last updated Jan 7, 2009
Key facts
- NPI
- 1235375296
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- License
- 10419 (MI)
- Legal business name
- FLAT RRIVER FAMILY DENTISTRY PLLC
- Practice address
- 400 W Oak St
Greenville, MI 48838-2276 - Phone
- (616) 754-3511
- NPI assigned
- Dec 22, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Kirk E Faber, DDS
- Title
- Chair Person
- Phone
- (616) 754-3511
Practitioners 1
-
Kirkwood E Faber, DDS
National Provider Directory
Locations
124 W Cass St
Greenville, MI 48838
Phone (616) 754-3511
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | 10419 | MI | Yes |
| General Practice Dentistry |
1223G0001X | 2901010419 | MI |
Addresses
Primary practice location
400 W Oak St
Greenville, MI 48838-2276
Mailing address
124 W. Cass St
Greenville, MI 48838
Phone (616) 754-3511
Other providers in Greenville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.