Individual
BRENT JAMES DINGMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2144 E PARIS AVE SE STE 150, GRAND RAPIDS, MI 49546-6126
(616) 942-2000
(616) 942-6805
Mailing address
2144 E PARIS AVE SE STE 150, GRAND RAPIDS, MI 49546-6126
(616) 942-2000
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2901018366
MI
390200000X
Student in an Organized Health Care Education/Training Program
29010183666
MI
Other
Enumeration date
04/27/2007
Last updated
03/17/2018
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