East Paris Dental Professionals, PLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

014927 Issued in MI

Legal business name

EAST PARIS DENTAL PROFESSIONALS, PLC

Practice address

2351 Countrywood Dr SE
Kentwood, MI 49508-5065

Phone

(616) 455-3020

Fax

(616) 455-1397

NPI assigned

Apr 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Michael Ellis, DDS

Title

Dentist

Phone

(616) 455-3020

Specialties & licenses 1

Addresses

Tax ID family

East Paris Dental Professionals PLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• East Paris Dental Professionals PLC

  • Dentist
  • Grand Rapids, MI
  • NPI 1942281480
  NPD tax ID

Locations

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730303389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2351 COUNTRYWOOD DR SE",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495085065",
            "telephone_number": "616-455-3020",
            "fax_number": "616-455-1397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2351 COUNTRYWOOD DR SE",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495085065",
            "telephone_number": "616-455-3020",
            "fax_number": "616-455-1397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST PARIS DENTAL PROFESSIONALS, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "616-455-3020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "014927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• DRS May and Mallory DDS PC (Breton Gardens Family Dentistry)
• Anna Stankovich Dubiak
• Duncan Lake Speech Therapy, LLC (Duncan Lake Counseling Collective)
• Duncan Lake Speech Therapy, LLC
• Mya Charity Eason
• Brenna Egan
• Eggleston Family Dentistry PC (esmiles)
• Edward Harrison Eggleston, DDS
• Kelly Ehle, O.D.
• Sara Nicole Eisinger

• General Practice Dentistry in Kentwood, MI
• Providers in Kentwood, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.