Provider Demographics
NPI:1730232638
Name:DAVID VANAPPLEDORN, DDS, PC
Entity type:Organization
Organization Name:DAVID VANAPPLEDORN, DDS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:VANAPPLEDORN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:616-392-4198
Mailing Address - Street 1:533 MICHIGAN AVE
Mailing Address - Street 2:
Mailing Address - City:HOLLAND
Mailing Address - State:MI
Mailing Address - Zip Code:49423-4700
Mailing Address - Country:US
Mailing Address - Phone:616-392-4198
Mailing Address - Fax:616-392-4316
Practice Address - Street 1:533 MICHIGAN AVE
Practice Address - Street 2:
Practice Address - City:HOLLAND
Practice Address - State:MI
Practice Address - Zip Code:49423-4700
Practice Address - Country:US
Practice Address - Phone:616-392-4198
Practice Address - Fax:616-392-4316
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-22
Last Update Date:2012-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010128571223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty