# ERIC GROENEVELD DDS, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376875161
- **Authorized official:** DR. ERIC P GROENEVELD DDS (PRESIDENT)
- **Authorized official phone:** (586) 727-0990

## Contact information

- **Practice address:** 68720 S MAIN ST, RICHMOND, MI 48062-1295
- **Practice address phone:** (586) 727-0990
- **Practice address fax:** (586) 727-4872
- **Mailing address:** 68720 S MAIN ST, RICHMOND, MI 48062-1295
- **Mailing address phone:** (586) 727-0990
- **Mailing address fax:** (586) 727-4872

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 2901019902 | MI | Yes |

## Other

- **Enumeration date:** 02/04/2010
- **Last updated:** 02/04/2010