Individual
DR. SCOTT ANTHONY PIROCHTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2017 EASTCASTLE DR SE, SUITE B, GRAND RAPIDS, MI 49508-8872
(616) 281-0220
(616) 281-8333
Mailing address
2017 EASTCASTLE DR SE, SUITE B, GRAND RAPIDS, MI 49508-8872
(616) 281-0220
(616) 281-8333
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901015448
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2908203
—
MI
Enumeration date
01/02/2007
Last updated
07/09/2007
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