location
search-icon
person
Brant A Erbentraut, DDS
Oral and Maxillofacial Surgery (Dentist) in Grand Rapids, Michigan
NPI 1609961374

Brant A Erbentraut is a Oral and Maxillofacial Surgery (Dentist) based in Grand Rapids, MI and is specialized in Oral and Maxillofacial Surgery. Brant A Erbentraut practices in Grand Rapids, MI and has the professional credentials of DDS. The NPI Number for Brant A Erbentraut is 1609961374 and holds a License No. 2901018125 (Michigan).

The current practice location address for Brant A Erbentraut is 2140 Lake Michigan Dr Nw, Grand Rapids, MI and can be reached out via phone at 616-735-2870 and via fax at 616-735-2871.

Location: 2140 Lake Michigan Dr Nw, Grand Rapids, MI, 49504-4785
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609961374
Provider Name
Brant A Erbentraut
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
2140 Lake Michigan Dr Nw, Grand Rapids, MI, 49504-4785
Phone Number
616-735-2870
Fax Number
616-735-2871
Provider Enumeration Date
10/04/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
181250 01 MI BCBSD
0D111530 01 MI BCBSM
institution
Provider Business Practice Location Address Details
Address
2140 Lake Michigan Dr Nw
City
Grand Rapids
State
Michigan
Zip
49504-4785
Phone Number
616-735-2870
Fax Number
616-735-2871
person
Provider Business Mailing Address Details
Address
2140 Lake Michigan Dr Nw
City
Grand Rapids
State
Michigan
Zip
49504-4785
Phone Number
616-735-2870
Fax Number
616-735-2871
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
2901018125 (Michigan)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.