Dr. Eldib, PLLC

General Practice Dentistry · Adrian, MI

Organization Active NPI

NPI number 1437549425

Practice location

1515 E Us Highway 223 Ste G
Adrian, MI 49221-4456
Phone
(517) 264-2700
Fax
(517) 264-2744

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NPI record

NPI
1437549425
Entity type
Organization (Type 2)
Enumeration date
January 28, 2015
Last updated
January 28, 2015
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 21060 MI

Mailing address

PO Box 3189
Syracuse, NY 13220-3189
Phone
(866) 273-8204
Fax
(866) 803-4943

Authorized official

Name
Jason Bertollini
Title
PRM
Phone
(866) 273-8204

About Dr. Eldib, PLLC

Dr. Eldib, PLLC is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1515 E Us Highway 223 Ste G, Adrian, MI 49221-4456. The NPI number 1437549425 was assigned on January 28, 2015 and the record was last updated on January 28, 2015.

Dr. Eldib, PLLC lists a license in the registry: #21060 (MI) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Jason Bertollini, PRM.

Frequently asked questions

What is the NPI number of Dr. Eldib, PLLC?

The NPI number is 1437549425.

What is the phone number of Dr. Eldib, PLLC?

The phone number listed for the practice location is (517) 264-2700.

Where is Dr. Eldib, PLLC located?

1515 E Us Highway 223 Ste G, Adrian, MI 49221-4456.

What is the taxonomy code for Dr. Eldib, PLLC?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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