Grapevine Denture Service

General Practice Dentistry · Traverse City, MI

Organization Active NPI

NPI number 1902019623

Practice location

865 Us Highway 31 S
Traverse City, MI 49684-8716
Phone
(231) 943-8409

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NPI record

NPI
1902019623
Entity type
Organization (Type 2)
Enumeration date
May 8, 2007
Last updated
August 22, 2020
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 08128 MI

Authorized official

Name
Jack D Ross, D.D.S.
Title
Dentist
Phone
(231) 943-8409

About Grapevine Denture Service

Grapevine Denture Service is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 865 Us Highway 31 S, Traverse City, MI 49684-8716. The NPI number 1902019623 was assigned on May 8, 2007 and the record was last updated on August 22, 2020.

Grapevine Denture Service lists a license in the registry: #08128 (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 Jack D Ross, D.D.S., Dentist.

Frequently asked questions

What is the NPI number of Grapevine Denture Service?

The NPI number is 1902019623.

What is the phone number of Grapevine Denture Service?

The phone number listed for the practice location is (231) 943-8409.

Where is Grapevine Denture Service located?

865 Us Highway 31 S, Traverse City, MI 49684-8716.

What is the taxonomy code for Grapevine Denture Service?

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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