ROBERT L EGGLESTON (NPI# 1003899733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003899733 |
| Entity Type | Individual |
| Full Name | ROBERT L EGGLESTON |
| Credential | DDS |
| Practice Address |
3100 Ivanrest Ave Sw Suite 105 Grandville MI 49418-2930 |
| Practice Telephone | 6165383060 |
| Practice Fax Number | 6165383653 |
| Mailing Telephone | 6165383060 |
| Mailing Fax Number | 6165383653 |
| Enumeration Date | 2005-11-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 2901016314 | MI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538781893 | Robert Christopher Eggleston | Student in an Organized Health Care Education/Training Program | 1601 Greene St, Columbia, SC 29208-4001 | 2020-05-10 |
| 1851912844 | Robert Lewis Eggleston IIi | Counselor | 741 Kenmoor Ave Se Ste B, Grand Rapids, MI 49546-2304 | 2020-04-30 |
| 1215916614 | Robert Michael Eggleston | Emergency Medicine | 401 6th Ave, Suite 301, Montgomery, WV 25136-2116 | 2006-01-13 |
| Street Address |
3100 IVANREST AVE SW SUITE 105 |
| City | GRANDVILLE |
| State | MI |
| Zip Code | 49418-2930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215483284 | Ivanrest Family Dentistry | Dentist | 3100 Ivanrest Ave Sw, Suite 105, Grandville, MI 49418-2955 | 2016-08-30 |
| 1508031808 | Grandville Endodontics | Dentist | 3100 Ivanrest Ave Sw, Suite 104, Grandville, MI 49418-2930 | 2008-04-28 |
| 1063547008 | John P Bolthouse | Dentist | 3100 Ivanrest Ave Sw, Grandville, MI 49418-2930 | 2007-02-22 |
| 1306936141 | Paul F Korte | Dentist | 3100 Ivanrest Ave Sw, Suite # 104, Grandville, MI 49418-2930 | 2006-10-13 |
| 1437246055 | Brian Joseph Licari | Dentist | 3100 Ivanrest Ave Sw, Suite # 104, Grandville, MI 49418-2930 | 2006-10-06 |
| 1770675225 | David M Strand | Dentist | 3100 Ivanrest Ave Sw, Suite 103, Grandville, MI 49418-2930 | 2006-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144799669 | Holly Cieslinski | Occupational Therapist | 3550 Fairlines Ave, Grandville, MI 49418 | 2018-11-14 |
| 1639664857 | Athletico Ltd | Physical Therapist | 3819 Rivertown Pkwy Sw Ste 100, Grandville, MI 49418 | 2018-06-29 |
| 1437651916 | Great Lakes Wellness Counseling LLC | Counselor | 2900 Wilson Ave Suite 110, Grandville, MI 49418 | 2018-03-01 |
| 1780111765 | Jenna Sargent | Nurse Practitioner | 2845 44th St Sw, Ste 200, Grandville, MI 49418 | 2017-05-22 |
| 1881132827 | Laura Elizabeth Ramaker | Specialist/Technologist | 2787 Pine Dunes Ct Sw, Wyoming, MI 49418 | 2017-02-10 |
| 1689026130 | Charles Unseld | Hearing Instrument Specialist | O-38 44th St Sw, Grandville, MI 49418 | 2016-07-08 |
| 1972989655 | Laci Dawn Johncock | Physical Therapy Assistant | 2786 56th Street, Wyoming, MI 49418 | 2015-08-05 |
| 1891178570 | Joshua Kolman | Pharmacist | 3434 Century Center Dr Sw, Grandville, MI 49418 | 2015-06-30 |
| 1710368782 | Tracie Medrano- Smith | Family Medicine | 4174 56th St Sw, Wyoming, MI 49418 | 2015-06-15 |
| 1124410808 | Kim Michelle Childress | Counselor | 4565 Wilson Ave Sw Ste 3a, Grandville, MI 49418 | 2015-03-04 |
| Find all providers in zip 49418 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598224370 | Tyler Richard Oatmen | Dentist | 3100 Ivanrest Ave Sw Ste 105, Grandville, MI 49418-2955 | 2019-03-19 |
| 1891142931 | Affordable Dentures & Implants - Grandville, P.C. | Dentist | 4485 Canal Ave Sw Ste C600, Grandville, MI 49418-2691 | 2016-05-18 |
| 1275914673 | 44 West Dental Professionals PC | Dentist | 4330 44th St Sw Ste 105, Grandville, MI 49418-2349 | 2015-06-11 |
| 1033380357 | Jane Elizabeth Boeschenstein | Dentist | 3040 Prairie St Sw, Grandville, MI 49418-2046 | 2008-03-13 |
| 1730302449 | Lee David Frederickson | Dentist | 3004 28th St Sw, Grandville, MI 49418-2704 | 2007-04-11 |
| 1215483284 | Ivanrest Family Dentistry | Dentist | 3100 Ivanrest Ave Sw, Suite 105, Grandville, MI 49418-2955 | 2016-08-30 |
| 1710326665 | Lance William Dehne | Dentist | 4391 Canal Ave Sw, Suite A, Grandville, MI 49418-2680 | 2013-06-24 |
| 1205181997 | Amy Elizabeth Harmon | Dentist | 3484 44th St Sw, Grandville, MI 49418 | 2012-07-18 |
| 1578823993 | Michael John Wierenga | Dentist | 4320 44th St Sw, Ste 106, Grandville, MI 49418-2300 | 2012-05-18 |
| 1558633909 | Rivertown Dental Excellence | Dentist | 4565 Wilson Ave Sw, Suite 2a, Grandville, MI 49418-2371 | 2012-02-01 |
| Find all providers in GRANDVILLE | ||||
| City | GRANDVILLE |
| Zip Code | 49418 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.