NPIMap

Organization Active NPI

H2G Dental PLLC

Doing business as Mariner Dental

  • General Practice Dentistry
  • Marine City, MI
National Provider Identifier
1427527779
Registry record updated Dec 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
H2G DENTAL PLLC
Doing business as
Mariner Dental
Practice address
540 S Parker St
Marine City, MI 48039-3593
Phone
(810) 765-1440
NPI assigned
Nov 15, 2018
Last updated
Dec 30, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
MOTOR CITY DENTAL PARTNERS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 30, 2021

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

Authorized official

Name
Dr. Eric Groeneveld, DDSNPI 1376700708
Title
Member
Phone
(248) 225-4392

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

540 S Parker St
Marine City, MI 48039-3593

Mailing address

PO Box 460
Richmond, MI 48062-0460
Phone (586) 727-0990

Other names 1

  • Mariner Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
H2G Dental PLLC11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

650 Broadway
Davisburg, MI 48350

540 S Parker St
Marine City, MI 48039
Phone (810) 765-1440

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1542240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640822400000",
    "number": "1427527779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 460",
            "city": "RICHMOND",
            "state": "MI",
            "postal_code": "480620460",
            "telephone_number": "586-727-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 S PARKER ST",
            "city": "MARINE CITY",
            "state": "MI",
            "postal_code": "480393593",
            "telephone_number": "810-765-1440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H2G DENTAL PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MOTOR CITY DENTAL PARTNERS LLC",
        "enumeration_date": "2018-11-15",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A",
        "authorized_official_last_name": "GROENEVELD",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "248-225-4392",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mariner Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marine City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.